Question
Physician Payments: Relative Value Units Last week we learned the calculation of payments for physician services.P RVU Information 2012: Code 44389 Work 3.13; PE (Non
Physician Payments: Relative Value Units
Last week we learned the calculation of payments for physician services.P
RVU Information
2012: Code 44389 Work 3.13; PE (Non Facility) 8.4; PE (Facility) 1.91; MP 0.49
Code 58800 Work 4.66; PE (Non Facility) 4.12; PE (Facility) 3.56; MP 0.79
Code 13100 Work 3.17; PE (Non Facility) 5.56; PE (Facility) 3.28; MP 0.50
Conversion Factor $34.0376
GPCI Information.
2012: Work GPCI: 0.998 PE GPCI: 0.981 MP GPCI: 0.619
Code | Description | Work RVU | Work GPCI | PE RVU | PE GPCI | MP RVU | MP GPCI | FAC TOTAL RVU | Total Payment |
2012 | Conversion Factor $34.0376 |
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44389 | Colonoscopy with bioposy Non Facility |
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44389 | Colonoscopy with bioposy in Facility |
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58800 | Ovarian Cyst Non Facility |
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58800 | Ovarian Cyst Facility |
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13100 | Wound Repair Non Facility |
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13100 | Wound Repair - Facility |
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II. Budget Neutrality Though a committee of physicians set the RVU (work, practice expense, and malpractice) values (and consequently can inflate physician payments by continuously increase the RVU values), CMS is required to control overall expenditures. Search online for information on Budget Neutrality for physician RVU based payments from Medicare and provide a brief summary of how Medicare can control its physician costs.
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