Re: question charges

[Guest guest]

Dear

The fee setting system for any CPT code is found in the big medicare book, "RBRVS SOURCEBOOK" which you buy from various places, including in my state from the state medical association. Sometimes people accidently get two of these and they are pretty expensive, so one can sell them on Ebay and I would look there for cheapest price. One then takes the CPT code number, and looks it up in the big 400 page table. Then one follows the line over to the column titled "N-Fac Total" meaning non-facility total billing amount; that gives you the multiplicative for the RBRVS in your area. You are in fact allowed to charge a higher RBRVS than the one your area has as your standard, but are not allowed to charge less because then you would be "in restraint of trade." Few people want to charge less.

Incidentally, the "N-Fac Total" term becomes significant when you have procedures, because at that point the "Total" part becomes important: that is, you don't charge more for the follow up care or the stitch removal in any ordinary procedure: only if the issue gets a different or unexpected complication can you charge again. So, for broken arm managment where you recheck the fracture line weekly, those are all included in the "total" charge.

Is all that the kind of explaination you were looking for?

Joanne Holland MD. Drain, Oregon

7/18/08, wrote:

Subject: question about rvusTo: practiceimprovement1 Date: Friday, July 18, 2008, 12:15 PM

I was trying to help someone learn to set fees. I got her to :http://www.cms. hhs.gov/PFSlooku p/02_PFSSearch. asp and (this is for my site) i get the payment medicare truly pays for a 99214 and the conversion factor , thus by simple math the rvu sholud be 2.22but I cannot on the cms site confirm that . when I look under rvus I get a complex mess none of which simply adds to 2.22 Can anyone explain better?thanks-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax

[Guest guest]

well sort ofThe CMS site does not list any total rvus nor does any combination of the parts they do list add up...... rvu +non fac pe rvu etc do not add up correclty to what the price they pay me divided by conversion factor says the rvu should be.

I am missing somethingI ought to be able to access this onthe webI know that CPT codes are propritetary via the AMA but I HAVE them.I paid for my CPT book I was a good dog. I want RVUs CAn't find.sigh.

Dear

The fee setting system for any CPT code is found in the big medicare book, " RBRVS SOURCEBOOK " which you buy from various places, including in my state from the state medical association. Sometimes people accidently get two of these and they are pretty expensive, so one can sell them on Ebay and I would look there for cheapest price. One then takes the CPT code number, and looks it up in the big 400 page table. Then one follows the line over to the column titled " N-Fac Total " meaning non-facility total billing amount; that gives you the multiplicative for the RBRVS in your area. You are in fact allowed to charge a higher RBRVS than the one your area has as your standard, but are not allowed to charge less because then you would be " in restraint of trade. " Few people want to charge less.

Incidentally, the " N-Fac Total " term becomes significant when you have procedures, because at that point the " Total " part becomes important: that is, you don't charge more for the follow up care or the stitch removal in any ordinary procedure: only if the issue gets a different or unexpected complication can you charge again. So, for broken arm managment where you recheck the fracture line weekly, those are all included in the " total " charge.

Is all that the kind of explaination you were looking for?

Joanne Holland MD. Drain, Oregon

7/18/08, wrote:

Subject: question about rvus

To: practiceimprovement1 Date: Friday, July 18, 2008, 12:15 PM

I was trying to help someone learn to set fees. I got her to :http://www.cms. hhs.gov/PFSlooku p/02_PFSSearch. asp

and (this is for my site) i get the payment medicare truly pays for a 99214 and the conversion factor , thus by simple math the rvu sholud be 2.22but I cannot on the cms site confirm that . when I look under rvus I get a complex mess none of which simply adds to 2.22 Can anyone explain better?

thanks-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

[Guest guest]

All good dogs go to heaven....

well sort ofThe CMS site does not list any total rvus nor does any combination of the parts they do list add up...... rvu +non fac pe rvu etc do not add up correclty to what the price they pay me divided by conversion factor says the rvu should be.

I am missing somethingI ought to be able to access this onthe webI know that CPT codes are propritetary via the AMA but I HAVE them.I paid for my CPT book I was a good dog. I want RVUs CAn't find.sigh.

Dear

The fee setting system for any CPT code is found in the big medicare book, " RBRVS SOURCEBOOK " which you buy from various places, including in my state from the state medical association. Sometimes people accidently get two of these and they are pretty expensive, so one can sell them on Ebay and I would look there for cheapest price. One then takes the CPT code number, and looks it up in the big 400 page table. Then one follows the line over to the column titled " N-Fac Total " meaning non-facility total billing amount; that gives you the multiplicative for the RBRVS in your area. You are in fact allowed to charge a higher RBRVS than the one your area has as your standard, but are not allowed to charge less because then you would be " in restraint of trade. " Few people want to charge less.

Incidentally, the " N-Fac Total " term becomes significant when you have procedures, because at that point the " Total " part becomes important: that is, you don't charge more for the follow up care or the stitch removal in any ordinary procedure: only if the issue gets a different or unexpected complication can you charge again. So, for broken arm managment where you recheck the fracture line weekly, those are all included in the " total " charge.

Is all that the kind of explaination you were looking for?

Joanne Holland MD. Drain, Oregon

7/18/08, wrote:

Subject: question about rvus

To: practiceimprovement1 Date: Friday, July 18, 2008, 12:15 PM

I was trying to help someone learn to set fees. I got her to :http://www.cms. hhs.gov/PFSlooku p/02_PFSSearch. asp

and (this is for my site) i get the payment medicare truly pays for a 99214 and the conversion factor , thus by simple math the rvu sholud be 2.22but I cannot on the cms site confirm that . when I look under rvus I get a complex mess none of which simply adds to 2.22 Can anyone explain better?

thanks-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

[Guest guest]

arff.

All good dogs go to heaven....

well sort ofThe CMS site does not list any total rvus nor does any combination of the parts they do list add up...... rvu +non fac pe rvu etc do not add up correclty to what the price they pay me divided by conversion factor says the rvu should be.

I am missing somethingI ought to be able to access this onthe webI know that CPT codes are propritetary via the AMA but I HAVE them.I paid for my CPT book I was a good dog. I want RVUs CAn't find.sigh.

Dear

The fee setting system for any CPT code is found in the big medicare book, " RBRVS SOURCEBOOK " which you buy from various places, including in my state from the state medical association. Sometimes people accidently get two of these and they are pretty expensive, so one can sell them on Ebay and I would look there for cheapest price. One then takes the CPT code number, and looks it up in the big 400 page table. Then one follows the line over to the column titled " N-Fac Total " meaning non-facility total billing amount; that gives you the multiplicative for the RBRVS in your area. You are in fact allowed to charge a higher RBRVS than the one your area has as your standard, but are not allowed to charge less because then you would be " in restraint of trade. " Few people want to charge less.

Incidentally, the " N-Fac Total " term becomes significant when you have procedures, because at that point the " Total " part becomes important: that is, you don't charge more for the follow up care or the stitch removal in any ordinary procedure: only if the issue gets a different or unexpected complication can you charge again. So, for broken arm managment where you recheck the fracture line weekly, those are all included in the " total " charge.

Is all that the kind of explaination you were looking for?

Joanne Holland MD. Drain, Oregon

7/18/08, wrote:

Subject: question about rvus

To: practiceimprovement1 Date: Friday, July 18, 2008, 12:15 PM

I was trying to help someone learn to set fees. I got her to :http://www.cms. hhs.gov/PFSlooku p/02_PFSSearch. asp

and (this is for my site) i get the payment medicare truly pays for a 99214 and the conversion factor , thus by simple math the rvu sholud be 2.22but I cannot on the cms site confirm that . when I look under rvus I get a complex mess none of which simply adds to 2.22 Can anyone explain better?

thanks-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax