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Conversion Factor

  1. #1
    Smile Conversion Factor
    Medical Coding Books
    Can anyone tell me the current Converation Factor?

  2. Default
    2010 fee schedule shows 36.0791. But there has been so much discussion this year on which specialties were on the upside and which was on the down. You can check CMS website. Regardless, the 36.0791 is not going to vary but pennies

  3. #3
    Post Conversion Factor
    By taking the conversion factor x the Non-facility RVU's should equal the reimbursement for a procedure, correct?

  4. Default
    Conversion factor is basically $36.08 paid for every RVU or portion of RVU whichever RVU total you use. If you are looking at the CMS fee schedule, you want to look for the appropriate "total" column as they break the RVU down to practice expense, work etc

    For a .50 RVU service you are going to get about $18. For a 1.0 RVU service you are going to get about $36

  5. #5
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    If done in the office, yes. If done at the hospital, use facility RVU's. In addition, you need to take the geographic differences into account and not use the National RVU's but multiply by the GPSI.

    I swear, the conversion factor has never been more "unstable" than it has this year!!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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