What Is Rvu In Medical Billing

Total rvu based compensation requires paying a doctor dependent on the type and amount of work they do in treating a patient. The purpose of rvu in medical billing is to determine the value of a doctor s productivity. In a way the relative value units are used to define the volume of work performed by the doctor while providing medical care to patients.

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This reimbursement is dependent on rvus which stands for relative value units.

What is rvu in medical billing.

The rvu calculation results are based on the values supplied by cms in the 2020 national physician fee schedule relative value file. In medical billing patients or insurance companies submit claims to assist in reimbursement. Rvu stands for relative value units. These are the measure of value for physician services used in us medicare.

The total rvu then gets multiplied by the medicare conversion factor. Rvus are part of rbrvs resource based relative value scale. Every cpt code used in billing is assigned a specific wrvu. Physician work rvu including the time and clinical skill necessary to treat a patient during an encounter.

The current conversion factor for 2020 is 36 0896. The importance of rvus work rvus are the most frequently utilized component of the resource based relative value scale rbrvs. Here we are focusing on the physician work rvu. It is a number that defines the volume of work doctors perform when treating patients for all procedures and services covered under the physician fee schedule.

Basically relative value units rvus is a standard set by medicare to determine the amount to pay doctors depending on their productivity. An rvu represents the total of three component rvus each of which is adjusted based on the geographic location in which a physician practices. This measure of value is based on the extent of physician work clinical and nonclinical resources and expertise required to deliver the healthcare service to patients. Relative value units in medical billing in medical billing claims are submitted to generate reimbursement and that reimbursement depends on relative value units.

Rather rvus define the value of a service or procedure relative to all services and procedures. What is an rvu in medical billing. There are several factors that affect the amount that will actually be reimbursed. The three component rvus are.

Medicare has established an rvu relative value unit for every cpt code to determine reimbursement amounts. This is standard regardless of the cpt code. It is critical to medicare medicaid and commercial health insurance reimbursements. Together they become the total rvu.

The wrvu then gets added to the other two rvus practice expenses and insurance. The rvu is made up of three components which include the physician work the practice expense totals and malpractice. Rvus or relative value units do not directly define physician compensation in dollar amounts. The services offered by the doctor are calculated using the rvu so as to pay him her for the services.

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