106k views
2 votes
According to the department of health and human services, Medicare learning network, what is the Medicare pfs payment rates formaula?

1 Answer

4 votes

The Medicare Physician Fee Schedule payment rates formula shows how a payment rate is calculated for a physician for her/his service. The sum of the three RVU’s (the physician work, practice expense (PE), and malpractice (MP) insurance) is multiplied to the conversion factor to get the Medicare PFS payment.

Moreover, these RVU’s is adjusted for differences across geographic areas in the input prices related to each component.

User Ansel
by
7.5k points