RE: cpt and rvu-making fee schedule

[Guest guest]

first, add up all the individual digits in the cpt code for which you wish to determine the fee. zero counts for 9 in any cpt where zero is in the fourth position, eg 99205. identify the ten most common icd codes in your practice. leave off the fourth and fifth digits. also leave off any letters, eg "V" and "E". add up the thirty digits of the ten codes. divide by fifty, rounding to the first two decimal places. multiply the product of the cpt by the product of the icd. voila! or whallah! you have just calculated the dollar fee for any cpt specific to your specialty! try it and see. LL Shay wrote: trying to make fee schedule. how do i know how many rvu's are in each cpt? (then i multiply the fee per rvu by the number of rvu's and whallah, right?)Shay

Sneak preview the all-new Yahoo.com. It's not radically different. Just radically better.

[Guest guest]

Hi Shay,

The calcluation is a bit more complicated than

multiplying the fee per RVU. There are some other

constants (factors) that are based on your geographic

area (Geographic Cost Index, I believe) and so on.

Those numbers can be found when you go to the Medicare

website and find the link where they discuss the

physician's fee schedule lookup function. Other 3rd

party payors generally use these same ratios to factor

in to the calculation to generate your maximum

allowable rate for each insurance company. To help me

figure these out, I acutally created an Excel

spreadsheet with these calculations which helps me

make adjustments as they go along which makes it a

whole lot easier. I'll be glad to send over an

attachment of the base spreadsheet so that you see how

that calculation is made.

Chen, MD

--- Shay wrote:

> trying to make fee schedule. how do i know how many

> rvu's are in each

> cpt? (then i multiply the fee per rvu by the number

> of rvu's and

> whallah, right?)

> Shay

>

>

>

>

__________________________________________________

[Guest guest]

I don’t

know if there is an advantage to one method over the other, but I set my fees

by taking the Medicare fee schedule and multiplying by 1.2-1.5. Mostly 1.5, but for a few

things that produced a fee that seemed too high to me.

Annie

cpt and rvu-making fee schedule

trying to make fee schedule. how do i know how many rvu's are in each

cpt? (then i multiply the fee per rvu by the number of rvu's and

whallah, right?)

Shay

[Guest guest]

I had really hoped that LL was kidding when he posted his note about how

to make this calculation. I really thought it was an elaborate

joke.

That it is not makes me want to faint at what an insane mess we've made

of paying for health care.

Gordon

At 11:27 PM 7/13/2006, you wrote:

Hi Shay,

The calcluation is a bit more complicated than

multiplying the fee per RVU. There are some other

constants (factors) that are based on your geographic

area (Geographic Cost Index, I believe) and so on.

Those numbers can be found when you go to the Medicare

website and find the link where they discuss the

physician's fee schedule lookup function. Other 3rd

party payors generally use these same ratios to factor

in to the calculation to generate your maximum

allowable rate for each insurance company. To help me

figure these out, I acutally created an Excel

spreadsheet with these calculations which helps me

make adjustments as they go along which makes it a

whole lot easier. I'll be glad to send over an

attachment of the base spreadsheet so that you see how

that calculation is made.

Chen, MD

--- Shay

wrote:

> trying to make fee schedule. how do i know how many

> rvu's are in each

> cpt? (then i multiply the fee per rvu by the number

> of rvu's and

> whallah, right?)

> Shay

>

>

>

>

__________________________________________________

[Guest guest]

I had really hoped that LL was kidding when he posted his note about how

to make this calculation. I really thought it was an elaborate

joke.

That it is not makes me want to faint at what an insane mess we've made

of paying for health care.

Gordon

At 11:27 PM 7/13/2006, you wrote:

Hi Shay,

The calcluation is a bit more complicated than

multiplying the fee per RVU. There are some other

constants (factors) that are based on your geographic

area (Geographic Cost Index, I believe) and so on.

Those numbers can be found when you go to the Medicare

website and find the link where they discuss the

physician's fee schedule lookup function. Other 3rd

party payors generally use these same ratios to factor

in to the calculation to generate your maximum

allowable rate for each insurance company. To help me

figure these out, I acutally created an Excel

spreadsheet with these calculations which helps me

make adjustments as they go along which makes it a

whole lot easier. I'll be glad to send over an

attachment of the base spreadsheet so that you see how

that calculation is made.

Chen, MD

--- Shay

wrote:

> trying to make fee schedule. how do i know how many

> rvu's are in each

> cpt? (then i multiply the fee per rvu by the number

> of rvu's and

> whallah, right?)

> Shay

>

>

>

>

__________________________________________________

[Guest guest]

Gordon

seems to think this isn’t a joke….Please tell me it is…

Annie

Re:

cpt and rvu-making fee schedule

first, add up all the individual digits in the cpt

code for which you wish to determine the fee. zero counts for 9

in any cpt where zero is in the fourth position, eg 99205.

identify the ten most common icd codes in your

practice. leave off the fourth and fifth digits. also leave off any

letters, eg " V " and " E " .

add up the thirty digits of the ten codes.

divide by fifty, rounding to the first two decimal

places.

multiply the product of the cpt by the product of the

icd.

voila! or whallah!

you have just calculated the dollar fee for any cpt

specific to your specialty!

try it and see.

LL

Shay

wrote:

trying to make fee schedule. how do i know how many

rvu's are in each

cpt? (then i multiply the fee per rvu by the number of rvu's and

whallah, right?)

Shay

Sneak preview the all-new

Yahoo.com. It's not radically different. Just radically better.

[Guest guest]

Gordon

seems to think this isn’t a joke….Please tell me it is…

Annie

Re:

cpt and rvu-making fee schedule

first, add up all the individual digits in the cpt

code for which you wish to determine the fee. zero counts for 9

in any cpt where zero is in the fourth position, eg 99205.

identify the ten most common icd codes in your

practice. leave off the fourth and fifth digits. also leave off any

letters, eg " V " and " E " .

add up the thirty digits of the ten codes.

divide by fifty, rounding to the first two decimal

places.

multiply the product of the cpt by the product of the

icd.

voila! or whallah!

you have just calculated the dollar fee for any cpt

specific to your specialty!

try it and see.

LL

Shay

wrote:

trying to make fee schedule. how do i know how many

rvu's are in each

cpt? (then i multiply the fee per rvu by the number of rvu's and

whallah, right?)

Shay

Sneak preview the all-new

Yahoo.com. It's not radically different. Just radically better.

[Guest guest]

Yes,

the RVU stuff seems WAY too complicated. Do others really use that to

determine their fees? I was always told to either just multiply the Medicare

allowable x 1.5 to 2.0 or obtain a customized fee analyzer from a company like

Ingenix. That book gives average fees by percentile for your particular

zip code. We used a combo of those two methods when we set up Alteer

& our fee schedule.

Re:

cpt and rvu-making fee schedule

I had really hoped that

LL was kidding when he posted his note about how to make this

calculation. I really thought it was an elaborate joke.

That it is not makes me want to faint at what an insane mess we've made of

paying for health care.

Gordon

At 11:27 PM 7/13/2006, you wrote:

Hi Shay,

The calcluation is a bit more complicated than

multiplying the fee per RVU. There are some other

constants (factors) that are based on your geographic

area (Geographic Cost Index, I believe) and so on.

Those numbers can be found when you go to the Medicare

website and find the link where they discuss the

physician's fee schedule lookup function. Other 3rd

party payors generally use these same ratios to factor

in to the calculation to generate your maximum

allowable rate for each insurance company. To help me

figure these out, I acutally created an Excel

spreadsheet with these calculations which helps me

make adjustments as they go along which makes it a

whole lot easier. I'll be glad to send over an

attachment of the base spreadsheet so that you see how

that calculation is made.

Chen, MD

--- Shay

wrote:

> trying to make fee schedule. how do i know how many

> rvu's are in each

> cpt? (then i multiply the fee per rvu by the number

> of rvu's and

> whallah, right?)

> Shay

>

>

>

>

__________________________________________________

[Guest guest]

Yes,

the RVU stuff seems WAY too complicated. Do others really use that to

determine their fees? I was always told to either just multiply the Medicare

allowable x 1.5 to 2.0 or obtain a customized fee analyzer from a company like

Ingenix. That book gives average fees by percentile for your particular

zip code. We used a combo of those two methods when we set up Alteer

& our fee schedule.

Re:

cpt and rvu-making fee schedule

I had really hoped that

LL was kidding when he posted his note about how to make this

calculation. I really thought it was an elaborate joke.

That it is not makes me want to faint at what an insane mess we've made of

paying for health care.

Gordon

At 11:27 PM 7/13/2006, you wrote:

Hi Shay,

The calcluation is a bit more complicated than

multiplying the fee per RVU. There are some other

constants (factors) that are based on your geographic

area (Geographic Cost Index, I believe) and so on.

Those numbers can be found when you go to the Medicare

website and find the link where they discuss the

physician's fee schedule lookup function. Other 3rd

party payors generally use these same ratios to factor

in to the calculation to generate your maximum

allowable rate for each insurance company. To help me

figure these out, I acutally created an Excel

spreadsheet with these calculations which helps me

make adjustments as they go along which makes it a

whole lot easier. I'll be glad to send over an

attachment of the base spreadsheet so that you see how

that calculation is made.

Chen, MD

--- Shay

wrote:

> trying to make fee schedule. how do i know how many

> rvu's are in each

> cpt? (then i multiply the fee per rvu by the number

> of rvu's and

> whallah, right?)

> Shay

>

>

>

>

__________________________________________________

[Guest guest]

Uh,

yes I think that is intended to be a joke, right? Yes, I’m sure it is.

Re:

cpt and rvu-making fee schedule

first, add up all the individual digits in the cpt

code for which you wish to determine the fee. zero counts for 9

in any cpt where zero is in the fourth position, eg 99205.

identify the ten most common icd codes in your

practice. leave off the fourth and fifth digits. also leave off any

letters, eg " V " and " E " .

add up the thirty digits of the ten codes.

divide by fifty, rounding to the first two decimal

places.

multiply the product of the cpt by the product of the

icd.

voila! or whallah!

you have just calculated the dollar fee for any cpt

specific to your specialty!

try it and see.

LL

Shay

wrote:

trying to make fee schedule. how do i know how many

rvu's are in each

cpt? (then i multiply the fee per rvu by the number of rvu's and

whallah, right?)

Shay

Sneak preview the all-new

Yahoo.com. It's not radically different. Just radically better.

[Guest guest]

Uh,

yes I think that is intended to be a joke, right? Yes, I’m sure it is.

Re:

cpt and rvu-making fee schedule

first, add up all the individual digits in the cpt

code for which you wish to determine the fee. zero counts for 9

in any cpt where zero is in the fourth position, eg 99205.

identify the ten most common icd codes in your

practice. leave off the fourth and fifth digits. also leave off any

letters, eg " V " and " E " .

add up the thirty digits of the ten codes.

divide by fifty, rounding to the first two decimal

places.

multiply the product of the cpt by the product of the

icd.

voila! or whallah!

you have just calculated the dollar fee for any cpt

specific to your specialty!

try it and see.

LL

Shay

wrote:

trying to make fee schedule. how do i know how many

rvu's are in each

cpt? (then i multiply the fee per rvu by the number of rvu's and

whallah, right?)

Shay

Sneak preview the all-new

Yahoo.com. It's not radically different. Just radically better.

[Guest guest]

IT IS A JOKE! i made it up and thought that everyone would see that it must be, since the formulation is so absurd. i guess it just points up how crazy our system is. sorry that anybody took it seriously. by the way, taking jokes seriously and not evaluating them for their absurdity is one of the major criteria of lone ranger syndrome. i am struggling (still) with small business server 2003, but i am doing my best to maintain good humor, even though i feel like applying my four pound sledgehammer to it. LL Brock DO wrote: Yes, the RVU stuff seems WAY too complicated. Do others really use that to determine their fees? I was always told to either just multiply the Medicare allowable x 1.5 to 2.0 or obtain a customized fee analyzer from a company like Ingenix. That book gives average fees by percentile for your particular zip code. We used a combo of those two methods when we set up Alteer & our fee schedule. -----Original Message-----From: [mailto: ] On Behalf Of L. Gordon Sent: Friday, July 14, 2006 8:51 AMTo: Subject: Re: cpt and rvu-making fee schedule I had really hoped that LL was kidding when he posted his note about how to make this calculation. I really thought it was an elaborate joke.That it is not makes me want to faint at what an insane mess we've made of paying for health care.GordonAt 11:27 PM 7/13/2006, you wrote: Hi Shay,The calcluation is a bit more complicated thanmultiplying the fee per RVU. There are some otherconstants (factors) that are based on your geographicarea (Geographic Cost Index, I believe) and so on. Those numbers can be found when you go to the Medicarewebsite and find the link where they discuss thephysician's fee schedule lookup function. Other 3rdparty payors generally use these same ratios to

factorin to the calculation to generate your maximumallowable rate for each insurance company. To help mefigure these out, I acutally created an Excelspreadsheet with these calculations which helps memake adjustments as they go along which makes it awhole lot easier. I'll be glad to send over anattachment of the base spreadsheet so that you see howthat calculation is made. Chen, MD--- Shay wrote:> trying to make fee schedule. how do i know how many> rvu's are in each > cpt? (then i multiply the fee per rvu by the number> of rvu's and > whallah, right?)> Shay> > > > __________________________________________________

[Guest guest]

i'm not sure this got sent, so i'll send it again. LLNote: forwarded message attached.

Do you Yahoo!? Get on board. You're invited to try the new Yahoo! Mail Beta.

IT IS A JOKE! i made it up and thought that everyone would see that it must be, since the formulation is so absurd. i guess it just points up how crazy our system is. sorry that anybody took it seriously. by the way, taking jokes seriously and not evaluating them for their absurdity is one of the major criteria of lone ranger syndrome. i am struggling (still) with small business server 2003, but i am doing my best to maintain good humor, even though i feel like applying my four pound sledgehammer to it. LL Brock DO wrote: Yes, the RVU stuff seems WAY too complicated. Do others really use that to determine their fees? I was always told to either just multiply the Medicare allowable x 1.5 to 2.0 or obtain a customized fee analyzer from a company like Ingenix. That book gives average fees by percentile for your particular zip code. We used a combo of those two methods when we set up Alteer & our fee schedule. -----Original Message-----From: [mailto: ] On Behalf Of L. Gordon Sent: Friday, July 14, 2006 8:51 AMTo: Subject: Re: cpt and rvu-making fee schedule I had really hoped that LL was kidding when he posted his note about how to make this calculation. I really thought it was an elaborate joke.That it is not makes me want to faint at what an insane mess we've made of paying for health care.GordonAt 11:27 PM 7/13/2006, you wrote: Hi Shay,The calcluation is a bit more complicated thanmultiplying the fee per RVU. There are some otherconstants (factors) that are based on your geographicarea (Geographic Cost Index, I believe) and so on. Those numbers can be found when you go to the Medicarewebsite and find the link where they discuss thephysician's fee schedule lookup function. Other 3rdparty payors generally use these same ratios to

factorin to the calculation to generate your maximumallowable rate for each insurance company. To help mefigure these out, I acutally created an Excelspreadsheet with these calculations which helps memake adjustments as they go along which makes it awhole lot easier. I'll be glad to send over anattachment of the base spreadsheet so that you see howthat calculation is made. Chen, MD--- Shay wrote:> trying to make fee schedule. how do i know how many> rvu's are in each > cpt? (then i multiply the fee per rvu by the number> of rvu's and > whallah, right?)> Shay> > > > __________________________________________________