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Relative Value Units (RVUs)

Medicare pays physicians for services based on submission of a claim using one or more specific CPT® codes. Each CPT® code has a Relative Value Unit (RVU) assigned to it which, when multiplied by the conversion factor (CF) and a geographical adjustment (GPCI), creates the compensation level for a particular service.
Note: MacPractice does not control RVUs, but does help track them. Any questions about RVUs themselves should be directed to CMS.
 
MacPractice helps you track Work RVUs through the Fee Schedule and Insurance Company references. RVU information is reported on the Production by Providers report.
 
You can enter RVUs on the patient's insurance plan (References > Insurance Companies > Plan > Allowed), or in the Fee Schedule. However, only RVUs entered in the Fee Schedule are reflected on production reports.
fee_schedule_RVU.png
You can enter an RVU for a code by selecting the code in References > Fee Schedule, then entering the necessary value in the Work RVU field. When the code is entered for a patient and appears on the Production by Provider report, the RVU will be reported as well. It will also be displayed on the charge level of any other production report.
 
You can also enter RVU information in the Plan tab of your Insurance Company reference. Under the Allowed tab in the plan, there is a field for RVU. Enter the RVU information from that insurance company here.
ins_comp_RVU.png
This value is only for reference, and is not reported on reports or claims.
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