1. What is the RBRVS Conversion Factor?

The RBRVS (Resource-Based Relative Value Scale) Conversion Factor is used to calculate physician payments by converting Relative Value Units (RVUs) into dollar amounts. This system is widely used in Medicare and other healthcare payment systems.

2. How Does the Calculator Work?

The calculator uses the RBRVS formula:

Where:

• \( CF \) — Conversion Factor ($/RVU)
• \( RVU \) — Relative Value Units (unitless)

Explanation: The equation multiplies the dollar conversion factor by the total RVUs assigned to a service to determine the payment amount.

3. Importance of RBRVS Calculation

Details: Accurate RBRVS calculations are crucial for determining fair physician reimbursement, budgeting healthcare costs, and understanding the value of medical services.

4. Using the Calculator

Tips: Enter the current Conversion Factor in dollars per RVU and the total RVUs for the service. Both values must be positive numbers.

5. Frequently Asked Questions (FAQ)

Q1: What determines the Conversion Factor?
A: The CF is typically set annually by CMS for Medicare, while private insurers may use different factors.

Q2: How are RVUs determined?
A: RVUs are assigned based on physician work, practice expenses, and malpractice costs for each service.

Q3: Does this include geographic adjustments?
A: No, this calculator provides the base payment before geographic adjustment factors are applied.

Q4: What's a typical Conversion Factor?
A: Medicare CFs are typically in the $30-$40 range, but vary by year and payer.

Q5: Can I use this for bundled payments?
A: For bundled services, you would sum the RVUs for all included services before applying the CF.