Set a defensible fee schedule and gain leverage with payers at the negotiation table to ensure you’re paid fairly from payers and patients with the 2017 Medicare RBRVS & Payment Sourcebook.
Newly updated with the most current CPT® and HCPCS level codes, facility and non-facility RVUs and reimbursement rates, medical practice billers will be fully armed with the critical reimbursement data they need to ensure fair out-of-network reimbursement from payers, optimize contracts and compare Medicare-based fee schedules against local fair market charges for top services.
See why the best provider organizations and consultants rely on the 2017 Medicare RBRVS & Payment Sourcebook to handle these crucial aspects of the revenue cycle – order your copy today!
- UPDATED! Complete list of all 2017 CPT® and HCPCS Level II codes—including abbreviated descriptions with RVUs and other critical reimbursement data.
- UPDATED! Facility and non-facility RVU totals and breakdowns—for work, practice expense and malpractice components for each CPT and HCPCS Level II code.
- UPDATED! Facility and non-facility Reimbursement Rates—providing invaluable information for setting fees.
- UPDATED! Professional component, technical component and global RVUs—provided for radiology and other services with separately billable professional and technical components.
- UPDATED! OPPS Cap RVUs—and instructions for determining when these RVUs apply.
- UPDATED! Conversions Factor Updates for 2017
- UPDATED! Review of recent legislation—impacting the Medicare Phys
- Instructions on comparing fees by payer—to evaluate the reimbursement mix for your practice.
- Steps to Practice Fee Schedule Preparation—guidance on using RBRVS to determine your out-of-network/out-of-pocket service fees.
- Preoperative, Intra-operative and Postoperative percentages—help you determine appropriate payment when a physician provides only a portion of the global surgical service.
- Detailed instructions for calculating locality specific fees—using Geographic Practice Cost Indices (GPCIs).
- Modifier information—helps you determine which modifier rules apply to each CPT and HCPS Level II code.