Wiki RVUs - Help!

Kaitbohrer

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Sandy, OR
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My outpatient orthopedic specialty office has asked me to help initiate raising prices on our office visits. The prices have been the same since I started billing & coding for them 4 years ago.

I need to learn more about how to calculate RVUS. I don't remember studying or being tested on RVU's in CPC or COSC credentialing. Help!
 
Using the RVUs is a start, but some of your payers reimburse at a higher rate. You should take a look at some of the remits from your payers and/or request a fee schedule to determine where your pricing should be. For example, Medicare may pay $10 for a procedure where as Aetna may pay $50 for that same code. Do your homework with the remits and by contacting the payers for fee schedules.
 
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