The RBRVS for the Medicare physician fee schedule (MPFS) developed by CMS is not a complete schedule. Medicare does not pay for certain services—these services usually are not assigned relative value units (RVUs) by CMS. Codes not valued by Medicare are referred to as “gap codes.” The Essential RBRVS Updateable gives you all the codes valued by CMS, as well as relative values for codes not valued by Medicare.
Key Features and Benefits
Medicare payment indicators included. Global days, multiple procedure reduction, assistant surgery, pre-op, intra-op and post-op percentages and other indicators commonly used for Medicare and commercial claims.
Includes CPT® and HCPCS codes. Easily identify values for different code sets.
Total values and components for each code—including work, malpractice, practice expense and total RVUs. Evaluate and analyze the costs associated with a service, providing a more complete picture of your reimbursement.
Includes the same data relied on by 70 percent of commercial payers. Negotiate stronger managed care contracts.
CPT® is a registered trademark of the American Medical Association.