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please help fill in blanks (gpcis for chicago & difference in nc and chicago) D E TI Professional Liability Insurance (PLI) 0.484 0.648 0.913 0.444

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D E TI Professional Liability Insurance (PLI) 0.484 0.648 0.913 0.444 0.742 0.722 0.443 A B 2011 Medicare Geographic Practice Cost Indices (GPCIS) Medicare Locality Work Practice Expense (PE) Alabama 1.000 0.928 Alaska 1.500 1.092 Arizona 1.000 0.983 Arkansas 1.000 0.923 Anaheim/Santa Ana, California 1.039 1.271 Los Angeles, California 1.039 1.220 Marin/Napa/Solano, 1.042 1.272 California Oakland/Berkeley, California 1.055 1.286 San Francisco, California 1.065 1.422 San Mateo, California 1.072 1.418 Santa Clara, California 1.080 1.310 Ventura, California 1.030 1.251 Rest of California 1.016 1.078 Colorado 1.000 0.997 Connecticut 1.031 1.168 District of Columbia + 1.048 1.218 Maryland/Virginia Suburbs Delaware 1.012 1.041 Fort Lauderdale, Florida 1.000 1.041 Miami, Florida 1.000 1.072 Rest of Florida 1.000* 0.976 Atlanta, Georgia 1.006 1.006 Rest of Georgia 1.000 0.943 Hawaii/Guam 1.000 1.198 Idaho 1.000 0.943 Chicago, Illinois 1.028 1.062 0.469 0.464 0.454 0.445 0.684 0.546 0.754 1.102 1.081 0.678 2.112 2.984 1.635 0.890 0.876 0.685 0.572 2.005 P Non- 0.41 0.07 E F G H K L. M N o 1 2011 RBRVS CONVERSION SPREADSHEET (Updated 10/11/11) Below GPCIs For North Carolina 2 Sample CF $30.5320 Work PE PLI 3 1.000 0.960 0.664 CPT Work Non- Facility rofessiona GPCI GPCI GPCI GPCI NC Fees NC Fees 100% of 100% of Difference Code RVUs Facility Practice Liability Adjusted Adjusted Adjusted Adjusted Non Facility Medicare Medicare between Medicare 4 Practice Expense Insurance Work Facility PLI Facility GPCT Non Facility NC and Expense (PE) PLI) RVU RVUs Facility PERVUS RVUS GPCI Adjusted Facility Medicare (PE) RVUS PERVUS Adjusted rate RVUS 5 99203 1:42 1.47 0.64 0.14 1.42000 1.41120 0.61440 0.09296 $89.28 $64.95 $104.77 $77.25 85% $15.49 6 99204 2.43 2.00 1.06 0.23 243000 1.92000 1.01760 0.15272 5137 48 $109.92 $161.66 $130.49 -$24.18 85% 7 99213 0.97 0.99 0.97000 0.95040 0.39360 0.04648 560.05 543.05 $69.68 $50.44 -$9.62 86% B 99214 1.50 0.63 0.10 1.50000 1.35360 0.60480 0.06640 $89.15 $66.29 $103.28 $77.41 -$14.12 86% 9 99215 2.11 1.80 0.90 0.14 2.11000 1.72800 0.86400 0.09296 $120.02 $93.64 $139.16 $109.31 -$19.14 86% 10 11 43239 2.87 6.87 1.85 0.42 2.87000 6.59520 1.77600 0.27888 $297.51 $150.37 $348.66 $182.19 -$51.15 85% 1243246 4,32 2.55 2.55 0.69 4.32000 2.44800 244800 0.45816 $220.63 $220.63 $269.67 $269.67 $49.04 82% 13 43247 3.38 2.12 2.12 0.52 3.38000 2.03520 2.035200.34528 $175.88 $175.88 $214.03 $214.03 82% 14 43248 3.15 2.06 2.06 $38.15 3.15000 1.97760 1.97760 0.298.80 $165.68 $165.68 $200.34 $200.34 83% 15 45383 5.36 $34.66 9.95 0.91 5.86000 9.55200 3.14880 0.60424 3489.01 $293.51 $59.61 58.42 -$90.60 84% 16 17 18 19 20 21 22 23 24 25 26 0.45 3.28 GPCI RVUS for NC RVUs for Chicago Da Calc Worksheet 2011 RBRVS CONVERSION SPREADSHEET Below GPCs For Chicago IL Assignment: Calculate the Adjusted RVUs for theses selected CPT codes for Chicago 11, the Facility and Non-facility GPCI fee. Compare the differences between the NC fees and Chicago fees Obtain the values for Chicago GPCI for work. PE, and PLI from the GPCI sheet Sample CF- $30 5320 Work PE PLI CPT Code Fees Fees Non Facility Facility GPCI GPCI Adjusted Adjusted 9203 W2011 79213 99214 99215 Work Non- Facility rofession, GPCI GPCI GPCI GPCI RVUS Facility Practice Liability Adjusted Adjusted Adjusted Adjusted Practice Expense Insurance Work Non Facility PLI Expense (PE) PLI) RVY RVUS Facility PERVUS RVUS (PE) RVUS PERVUS RVUS 1:42 0764 0.14 200 1700 023 0.02 641 0.07 1.50 1.41 0.63 0.10 2.11 1.80 0.90 0.14 09 A E J A CPT code D NC Non-NC Chicago Chicago Facility Facility Non- Facility Fee Fee Facility Fee Fee F Difference between NC and Chicago Non-facility G Difference between NC and Chicago facility fees H % of Non- facility fee % of Facility fee ANE 99203 99204 99213 99214 99215 D E TI Professional Liability Insurance (PLI) 0.484 0.648 0.913 0.444 0.742 0.722 0.443 A B 2011 Medicare Geographic Practice Cost Indices (GPCIS) Medicare Locality Work Practice Expense (PE) Alabama 1.000 0.928 Alaska 1.500 1.092 Arizona 1.000 0.983 Arkansas 1.000 0.923 Anaheim/Santa Ana, California 1.039 1.271 Los Angeles, California 1.039 1.220 Marin/Napa/Solano, 1.042 1.272 California Oakland/Berkeley, California 1.055 1.286 San Francisco, California 1.065 1.422 San Mateo, California 1.072 1.418 Santa Clara, California 1.080 1.310 Ventura, California 1.030 1.251 Rest of California 1.016 1.078 Colorado 1.000 0.997 Connecticut 1.031 1.168 District of Columbia + 1.048 1.218 Maryland/Virginia Suburbs Delaware 1.012 1.041 Fort Lauderdale, Florida 1.000 1.041 Miami, Florida 1.000 1.072 Rest of Florida 1.000* 0.976 Atlanta, Georgia 1.006 1.006 Rest of Georgia 1.000 0.943 Hawaii/Guam 1.000 1.198 Idaho 1.000 0.943 Chicago, Illinois 1.028 1.062 0.469 0.464 0.454 0.445 0.684 0.546 0.754 1.102 1.081 0.678 2.112 2.984 1.635 0.890 0.876 0.685 0.572 2.005 P Non- 0.41 0.07 E F G H K L. M N o 1 2011 RBRVS CONVERSION SPREADSHEET (Updated 10/11/11) Below GPCIs For North Carolina 2 Sample CF $30.5320 Work PE PLI 3 1.000 0.960 0.664 CPT Work Non- Facility rofessiona GPCI GPCI GPCI GPCI NC Fees NC Fees 100% of 100% of Difference Code RVUs Facility Practice Liability Adjusted Adjusted Adjusted Adjusted Non Facility Medicare Medicare between Medicare 4 Practice Expense Insurance Work Facility PLI Facility GPCT Non Facility NC and Expense (PE) PLI) RVU RVUs Facility PERVUS RVUS GPCI Adjusted Facility Medicare (PE) RVUS PERVUS Adjusted rate RVUS 5 99203 1:42 1.47 0.64 0.14 1.42000 1.41120 0.61440 0.09296 $89.28 $64.95 $104.77 $77.25 85% $15.49 6 99204 2.43 2.00 1.06 0.23 243000 1.92000 1.01760 0.15272 5137 48 $109.92 $161.66 $130.49 -$24.18 85% 7 99213 0.97 0.99 0.97000 0.95040 0.39360 0.04648 560.05 543.05 $69.68 $50.44 -$9.62 86% B 99214 1.50 0.63 0.10 1.50000 1.35360 0.60480 0.06640 $89.15 $66.29 $103.28 $77.41 -$14.12 86% 9 99215 2.11 1.80 0.90 0.14 2.11000 1.72800 0.86400 0.09296 $120.02 $93.64 $139.16 $109.31 -$19.14 86% 10 11 43239 2.87 6.87 1.85 0.42 2.87000 6.59520 1.77600 0.27888 $297.51 $150.37 $348.66 $182.19 -$51.15 85% 1243246 4,32 2.55 2.55 0.69 4.32000 2.44800 244800 0.45816 $220.63 $220.63 $269.67 $269.67 $49.04 82% 13 43247 3.38 2.12 2.12 0.52 3.38000 2.03520 2.035200.34528 $175.88 $175.88 $214.03 $214.03 82% 14 43248 3.15 2.06 2.06 $38.15 3.15000 1.97760 1.97760 0.298.80 $165.68 $165.68 $200.34 $200.34 83% 15 45383 5.36 $34.66 9.95 0.91 5.86000 9.55200 3.14880 0.60424 3489.01 $293.51 $59.61 58.42 -$90.60 84% 16 17 18 19 20 21 22 23 24 25 26 0.45 3.28 GPCI RVUS for NC RVUs for Chicago Da Calc Worksheet 2011 RBRVS CONVERSION SPREADSHEET Below GPCs For Chicago IL Assignment: Calculate the Adjusted RVUs for theses selected CPT codes for Chicago 11, the Facility and Non-facility GPCI fee. Compare the differences between the NC fees and Chicago fees Obtain the values for Chicago GPCI for work. PE, and PLI from the GPCI sheet Sample CF- $30 5320 Work PE PLI CPT Code Fees Fees Non Facility Facility GPCI GPCI Adjusted Adjusted 9203 W2011 79213 99214 99215 Work Non- Facility rofession, GPCI GPCI GPCI GPCI RVUS Facility Practice Liability Adjusted Adjusted Adjusted Adjusted Practice Expense Insurance Work Non Facility PLI Expense (PE) PLI) RVY RVUS Facility PERVUS RVUS (PE) RVUS PERVUS RVUS 1:42 0764 0.14 200 1700 023 0.02 641 0.07 1.50 1.41 0.63 0.10 2.11 1.80 0.90 0.14 09 A E J A CPT code D NC Non-NC Chicago Chicago Facility Facility Non- Facility Fee Fee Facility Fee Fee F Difference between NC and Chicago Non-facility G Difference between NC and Chicago facility fees H % of Non- facility fee % of Facility fee ANE 99203 99204 99213 99214 99215

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