06/26/17
What are RVUs and How Do They Impact Payment
I receive many questions asking how does the Centers for Medicare and Medicaid Services (CMS) determine their payment for each CPT code. CMS utilizes the Resource Based Relative Value Scale (RBRVS) to determine payment for each CPT under the Medicare Physician Fee Schedule (MPFS). The RBRVS is a schema that assigns procedures performed by a therapist or other medical provider a relative value that is adjusted based on the providers geographic region. This geographic region adjustment is accomplished using geographic practice cost indices (GPCI). This value is then multiplied by a fixed conversion factor, which changes annually, to determine the
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