Understanding the Medicare Physician Fee Schedule Database - RVUs and More

Event Information
Product Format
Prerecorded Event
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC
60 minutes
Product Description

Learn How to Accurately Use RVUs to Develop Your Practice's Fee Schedules by Accessing the MPFS Database

The Medicare Physician Fee Schedule Database is a file that presents a basis of payment under Medicare Part B. The file includes the associated relative value units (RVUs), fee schedule status indicator, and some payment policy indicators needed for payment adjustment for physician services.

Many practices don’t understand where to find the information needed to bill Medicare compliantly. In this webinar, Kim Garner-Huey, MJ, CPC, CCS-P, PCS, CPCO will introduce and explain the Medicare Physician Fee Schedule Database. She will guide you column-by-column through the database and explain how to apply the information to ensure correct coding and optimum reimbursement. You will also be able to access the Medicare Physician Fee Schedule Database.

Additionally, Kim will briefly review the “Medicare Access and CHIP Reauthorization Act of 2015” (MACRA), which reforms Medicare payment policy for physician services and adopts a series of policy changes affecting a wide range of providers and suppliers.

Topics covered in the session:

  • Optimizing payments by accurately utilizing modifiers -26, -53 or -TC
  • How to avoid denials and penalties for failing to correctly identify bundled codes
  • Reviewing the elements of Medicare Access and CHIP Reauthorization Act (MACRA)
    • Introduction of Merit-Based Incentive Payment System
    • Additional physician-practice related provisions
  • How to quickly find the correct Relative Value Units (RVU) for your most common procedures
  • Insights on accurate use of RVUs to develop your practice's fee schedules
  • Identifying the reimbursement percentage for pre-op, intra-op, and post-op periods
  • Determining appropriate billing for surgical assistants
  • Multiple Procedure: Identify how the fee would be reduced when more than one code is billed

Plus, you’ll also get:

  • Keys to billing Medicare
  • Medicare Internet-Only Manual
  • Insights on National Correct Coding Initiative (NCCI)
  • PC/TC Indicator—What’s new for 2015
  • Physician Supervision of Diagnostic Procedures
  • MACRA - Online resources

Who should attend

Physicians, managers, administrators, coders, billers


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About Our Speaker

Kim Garner Huey - Health Care Management Expert

Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians.

Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s degree in health care management and went on to...   More Info
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