How do you calculate rbrvs

Tyler DeVries Business Systems Engineer Tyler is passionate about helping small business owners lead and manage effective teams.

Thanks Richard! Leave a Reply Cancel reply Your email address will not be published. Share via. Copy Link. Powered by Social Snap. Copy link. Copy Copied. What does it do , technically? It allows you to choose your CMS-driven location, set a Medicare Multiplier, and then, on a code-by-code basis, determine your pricing level relative to Medicare. If you then provide your payment information, it will compare them to the Medicare fee schedule for you.

The bottom line is that all insurance companies use the RBRVS, but they use it poorly or in a way that harms you. Arm yourself with the data! I've abandoned trying to make working models for both Excel and Libreoffice - I now have one that everyone should be able to use - just download the new version here.

How does it work? What would you use this for? Many things! Ensure that your pricing is logical and supportable. Enter your fees and see where you don't line up. Compare your pricing to another pricing set - a fee schedule, perhaps, or another practice. When you get that rate proposal from a payor, how else are you going to judge it?

You want to judge the real fee schedule for a payor. Enter your actual payments to see how they compare. I've abandoned trying to make working models for both Excel and Libreoffice - I now have one that everyone should be able to use - just download the new version here. How does it work? What would you use this for? Many things! Ensure that your pricing is logical and supportable. Enter your fees and see where you don't line up. Compare your pricing to another pricing set - a fee schedule, perhaps, or another practice.

When you get that rate proposal from a payor, how else are you going to judge it? You want to judge the real fee schedule for a payor. Enter your actual payments to see how they compare. I always find mistakes from the payors when I compare their contracted fee schedules to what they actually pay!

Compare the fee schedules of two payors. Look out for newer or previous versions. You have to agree to the license and usage rules from CMS, of course. Note that the actual file name will change based on version of the RVU data file you download. It will have about 17, CPT codes in it.