Medicare Fee Schedule - Arizona Computer Services, Inc

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A fee schedule is a listing of medical procedure codes reported to a given insurance company and how much will be paid to doctors or other providers/suppliers for any procedure code on a fee-for-service basis.

Click here to view our RVU Search Beta Site

Typically, the amounts paid are based on a percentage of the Medicare Allowable Amounts for a given year and quarter, such as "92% of the 2009 Medicare Allowable Amount". How do you know how much that should be?

Resource Based Relative Value Units (RBRVU) are used to assign a Relative Value Unit (RVU) multiplier to the physician's work (including the physician's time and amount of skill required for the procedure), the practice's supplies & overhead and the malpractice expense.

Payment varies based on the zip code of the location where services are rendered using a Geographic Practice Cost Index (GPCI) multiplier which changes every quarter with the intention of eventually paying all docs the same amount no matter where they do business across the nation.

The formula for 2012 physician fee schedule payment amount is as follows:

2012 Non-Facility Pricing Amount =
[(Work RVU * Work GPCI) +
(Transitioned Non-Facility PE RVU * PE GPCI) +
(MP RVU * MP GPCI)] * Conversion Factor (CF)

2012 Facility Pricing Amount =
[(Work RVU * Work GPCI) +
(Transitioned Facility PE RVU * PE GPCI) +
(MP RVU * MP GPCI)] * Conversion Factor

Quick! Use this formula to determine how much Medicare pays for an Office Visit, Established Patient 99213 performed at your location! .. or use our RVU Lookup tool and find it in a snap!

We recommend that your fee schedule be set at least 180% of the Medicare allowable amount. You may prefer to charge more or less. How much is that?

Your contract with ABC insurance states it will pay you 92% of 2010 RBRVS. How much is that?

Now you can find out!

We've made this easy for you.. just select the year and quarter RVU you wish to check, plug in your practice's 9-digit zip code, your retail multiplier (what percentage of Medicare allowable to charge?) and up to 3 CPT codes and shazam, it's all there for you including global properties and Correct Coding Initiative (CCI) edits.

Click here to view our RVU Search Beta Site

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NPI/PECOS Lookup RVU Lookup		Links → Internet Resources → Insurances → Hospitals → Pharmacies → Team Login	Tools & Downloads → E&M Charting Scoresheet → Medical Abbreviations → Primary Care Diagnosis QuickList → All Tools & Downloads

	A fee schedule is a listing of medical procedure codes reported to a given insurance company and how much will be paid to doctors or other providers/suppliers for any procedure code on a fee-for-service basis. Click here to view our RVU Search Beta Site Typically, the amounts paid are based on a percentage of the Medicare Allowable Amounts for a given year and quarter, such as "92% of the 2009 Medicare Allowable Amount". How do you know how much that should be? Resource Based Relative Value Units (RBRVU) are used to assign a Relative Value Unit (RVU) multiplier to the physician's work (including the physician's time and amount of skill required for the procedure), the practice's supplies & overhead and the malpractice expense. Payment varies based on the zip code of the location where services are rendered using a Geographic Practice Cost Index (GPCI) multiplier which changes every quarter with the intention of eventually paying all docs the same amount no matter where they do business across the nation. The formula for 2012 physician fee schedule payment amount is as follows: 2012 Non-Facility Pricing Amount = [(Work RVU * Work GPCI) + (Transitioned Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (CF) 2012 Facility Pricing Amount = [(Work RVU * Work GPCI) + (Transitioned Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor Quick! Use this formula to determine how much Medicare pays for an Office Visit, Established Patient 99213 performed at your location! .. or use our RVU Lookup tool and find it in a snap! We recommend that your fee schedule be set at least 180% of the Medicare allowable amount. You may prefer to charge more or less. How much is that? Your contract with ABC insurance states it will pay you 92% of 2010 RBRVS. How much is that? Now you can find out! We've made this easy for you.. just select the year and quarter RVU you wish to check, plug in your practice's 9-digit zip code, your retail multiplier (what percentage of Medicare allowable to charge?) and up to 3 CPT codes and shazam, it's all there for you including global properties and Correct Coding Initiative (CCI) edits. Click here to view our RVU Search Beta Site