Therefore, depending on the individual state fee schedule’s reliance on CMS’ published values, the 2021 update may have resulted in increases to the maximum allowable reimbursements and consequently to WC medical costs. In aggregate, the 2021 E/M RVUs increased by 13%. In comparison, the 2022 E/M RVUs decreased by less than 1%. The reimbursement rate for medical services and treatment (anesthesiology and ambulatory surgical centers are covered in other sections) is calculated by multiplying each RBRVS relative value unit (RVU) by each corresponding GPCI (geographic price costs index), adding those products, and.
Overview This website is designed to provide information on services covered by the Medicare Physician Fee Schedule (MPFS). It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.). Work RVUs for commonly performed services in nephrology are shown in Figure 1. For comparison, the work relative value units (wRVUs) for the provision of a single hemodialysis session are comparable to those for the performance of a transthoracic echocardiogram with Doppler study or a level 3 new patient office visit ( 4 ). Download figure.
On average, a level 3 visit will be reimbursed through insurance at around $75-$100. Therefore, if you are offered $18 per RVU, you are only receiving around 20% of collections! As you can see, it is imperative you understand this concept when negotiating your RVU rate. In my opinion, you should ask for $32 per RVU during job negotiations.