Medicare Conversion Factor Formula:
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The Medicare Conversion Factor (CF) is the dollar amount that Medicare pays per Relative Value Unit (RVU). It's used to calculate physician payments by multiplying the RVUs for a service by the conversion factor.
The calculator uses the simple formula:
Where:
Explanation: This calculation shows how much Medicare pays per unit of RVU, which is fundamental to understanding physician reimbursement.
Details: The conversion factor is critical for healthcare providers to understand their reimbursement rates and for policymakers to adjust Medicare payments.
Tips: Enter the total payment amount in dollars and the RVU value. Both values must be positive numbers.
Q1: What is an RVU?
A: Relative Value Units measure the value of physician services considering physician work, practice expenses, and malpractice insurance.
Q2: How often does the conversion factor change?
A: Medicare updates the conversion factor annually, though mid-year changes can occur due to legislative actions.
Q3: What's a typical conversion factor value?
A: The Medicare conversion factor typically ranges between $32-$38 per RVU, varying by year and location.
Q4: Does this include all RVU components?
A: This calculator uses total RVU. For detailed analysis, you might want to separate work RVU, practice expense RVU, and malpractice RVU.
Q5: Can this be used for non-Medicare payments?
A: While designed for Medicare, the same principle applies to other payers, though their conversion factors may differ.