The Essential RBRVs

Please note: You may wish to make your selection according to publication date. However, keep in mind any book not yet published can be easily pre-ordered so that you can conveniently plan ahead.

2012 Looseleaf Edition
Binder, 11.5" x 12"
AAPC CEU Credits: 6 CEUs
ISBN 1601515944
978-1601515940
Ingenix / HFMA
January 2012
(click below for the best available price for this 2012 book)

2011 Looseleaf Edition
Binder, 11.5" x 12"
AAPC CEU Credits: 6 CEUs
ISBN 1601514654
978-1601514653
Ingenix / HFMA
January 2011
(click below for the best available price for this 2011 book)

2011 ASCII Data File on CD-ROM
CD-ROM
ISBN 1601514662
978-1601514660
Ingenix / HFMA
January 2011
(click below for the best available price for this 2011 CD-ROM)

This is your complete relative value scale for fee schedules development and contract analysis.

The Essential RBRVS provides physicians with a complete relative value scale for developing fee schedules and analyzing contracts. The Essential RBRVS is a complete relative value schedule based on Medicare’s RBRVS. View sample pages.

The RBRVS for the Medicare physician fee schedule (MPFS), developed by CMS, is not a complete schedule. By law, Medicare cannot pay for certain services — these services usually are not assigned relative value units (RVUs) by CMS. Codes not valued by Medicare are referred to as “gap codes.” The Essential RBRVS gives you all the codes valued by CMS, as well as relative values for all codes not valued by Medicare:

RBRVS RVU units for CPT and HCPCS codes, including 3,000 plus gap codes not assigned RVUs by CMS. Easily establish fees for Medicare and non-Medicare services.
Additional data points commonly used for Medicare and commercial claims help in fee development. Medicare’s assistant-at-surgery table is now included.
Comprehensive relative value scale. Improve productivity with one relative value scale for both Medicare and commercial claims.
Three values for each CPT code — work, practice expense and malpractice expense. Evaluate and analyze the costs associated with a service, providing a more complete picture of your reimbursement.
Global periods. Identify the number of follow-up days under Medicare’s physician fee schedule.
Includes the same data many major health care organizations use to determine payment. Negotiate favorable managed care contracts by accessing the same data used by 70 percent of payers.
Negotiate stronger managed care contracts using the same data used by 70 percent of commercial payers.
Updates are provided. Email and web updates keep you current when RVU data changes occur throughout the year.
AAPC CEUs available for your staff.

Data files, when provided, are in fixed width and tab-delimited formats.

Ingenix offers practical results-oriented services for coding, physician documentation, billing compliance, reimbursement, training services for hospitals and physicians, and more. Learn from the experts who help write the books other consultants are using. Thousands of physicians and health care professionals rely on Ingenix for expert advice. Start benefiting from 100+ years of combined experience and expertise. CPT is a registered trademark of the American Medical Association.

Lauri Gray, RHIT, CPC, has over 20 years of experience in health information management. She began her career as a medical records supervisor in a multi-specialty clinic and then shifted to the managed care industry, where she was employed as a contracting and coding specialist for a major HMO. Ms. Gray has extensive experience in fee schedule development and analysis, which includes an in-depth knowledge of risk contracting and the development of capitation rates. Ms. Gray has been a technical editor for Ingenix since 1998.

Please remember that the government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

You may also be interested in combining this important book with the complete CodeManager software and coding data files.

(information provided by the publisher)

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