tci Outpatient Facility Coding Alert - 2015 Issue 8

RVUs Refresher: Keep Up On PFS by Building a Comprehensive Understanding of RVUs

Break down the components of your payment. The Centers for Medicare and Medicaid Services (CMS) pays physicians for their services based on submission of a claim according to the Physician Fee Schedule (PFS). Medicare pays for physician services based on a list of services and their payment rates. Under the PFS, every physician service corresponds to a specific procedure code within the Healthcare Common Procedure Coding System (HCPCS). Since 1992, CMS has relied on the RBRVS system to determine the fee for each procedure. In the RBRVS system, payments for each service depend on the relative amounts of inputs...

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