Data Files
Procedural data sets with RVUs add-onAAPC's Complete Medicare Physician Fee Schedule with RVU Relationship is an excellent add-on for the Procedural Data with RVUs data file. It augments the RVUs provided in that file with current, official Medicare Physician Fee Schedule data. It comes in three formats: fixed format .txt, pipe-delimited .txt, and Excel-ready .xls. Ideal for EHRs, claim scrubbers, auditing, and adjudication, this data will help add certainty to an uncertain activity.
This file includes the Centers for Medicare & Medicaid Services (CMS) Medicare Physician Fee Schedule and augments the Procedural Data with RVUs with additional information, including HCPCS Level II codes and descriptions, Medicare RVUs, global days, and other information. It comes in three formats: fixed format .txt, pipe-delimited .txt, and Excel-ready .xls. Ideal for EHRs, claim scrubbers, auditing, and adjudication, this data will help add certainty to an uncertain activity.
Benefits
Paired with the Procedural Data with RVU file, this provides complete fee schedule information for commercial and federal payers
Ideal for fee schedule negotiation with payers
Adds certainty to EHR, billing, auditing, claims scrubbing, and adjudication
Comes in three formats: fixed format .txt, pipe-delimited .txt, and Excel-ready .xls.
Ideal for EHRs, claim scrubbers, auditing, and adjudication
Features
Current CPT® and HCPCS Level II codes and short descriptions
Modifiers and descriptions
Relative value units - facility and non-facility
Global days
Conversion factor
Status code
Status definition
Synopsis