1 RBRVS EZ-Fees 1998 - 2006. 2 RBRVS EZ-Fees Introduction What is RBRVS EZ-Fees Who uses RBRVS EZ-Fees Benefits Features How to use RBRVS EZ-Fees Questions.

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Presentation transcript:

1 RBRVS EZ-Fees

2 RBRVS EZ-Fees Introduction What is RBRVS EZ-Fees Who uses RBRVS EZ-Fees Benefits Features How to use RBRVS EZ-Fees Questions and answers

3 What is RBRVS The Resource Based Relative Value System (RBRVS) is used to determine Allowed Charge Amounts for Medicare Part B (physician) services. In additional to Medicare, RBRVS is used with in Medicaid,, Managed Care (PPO & HMO), some states Workers Compensation and commercial insurance. RBRVS is also used in physician compensation and bonus methodology, life care planning and any health care related fee analysis.

4 What is RBRVS EZ-Fees RBRVS EZ Fees is a low cost, easy-to-use Windows application that creates and analyzes physician payments using Medicare's RBRVS. RBRVS EZ-Fees is a licensed AMA product and contains official CPT-4 coding and descriptions. Available for

5 RBRVS EZ-Fees Main Screen Large Feature Buttons CPT Long & Short Descriptions with Notes Thousand of CPT and HCPCS Codes

6 Who uses RBRVS EZ-Fees Physicians and other providers, office managers, insurance companies and other providers (HMO, PPO, TPA, PHO, IPA), CFOs, CEOs, CPAs, consultants, state and federal agencies, medical societies, associations, payers, billing services, accountants, actuaries, lawyers, life care planners and other healthcare professionals.

7 Benefits – User Friendly Very User Friendly - No mathematical formulas, conversion factors or knowledge of RBRVS required. RBRVS EZ-Fees was designed for the beginner. The goal was simple - create a Windows application that didn't require any prior knowledge of RBRVS. You don't even need a calculator. One main screen, large feature buttons, no technical manuals and no training needed.

8 Benefits – Create Fee Schedules in seconds Create Fee Schedules in Seconds. With a few clicks you can create accurate RBRVS based fee schedules for all US localities for over 10,000 CPT/HCPCS Codes. Options include: NonFacility Participating, NonFacility Non Participating, Facility Participating, Facility Non Participating, Facility Limiting, 5 User Defined Fee and Frequency Schedules.

9 Benefits – Free Updates and Support FREE Data Updates for product/fiscal year Tech Support (unlimited) Bug fixes/patches (unlimited)

10 Benefits – Inexpensive and Powerful Don’t be fooled by our low price ($199) Don't be fooled by our low price ($199) - RBRVS EZ-Fees has all the features plus many more (exporting, utilization manager and specialty tagging) found in other software packages costing hundreds more.

11 Features - Fee Schedules Create an unlimited number of Fee Schedules and Sessions 5 User Defined Fee Schedules (per session) 5 User Defined Frequency Schedules (per session) Unlimited sessions

12 Features – Import & Export Export Export fee schedules, unit values, codes, descriptions and notes for over 10,000 CPT/HCPCS codes to Excel, ASCII, or Access. Import Import existing fee schedules from Excel, ASCII, or Access.

13 Features - Fee Manager Select Source & Destination Select Percent Increase

14 Features - Select Locality Select by State, City, County, Carrier or by Zip Code

15 Tag codes by specialty, CPT code range or by key words Features - Tagging Tagged code have a “+”

16 Features - Utilization Percent per procedure Fee Schedule Summaries Viewing Options

17 Features - Reports Select fields for custom reports Select Predefined Reports or Custom Reports

18 Features – Status Indicators STATUS INDICATORS (Additional information available under HELP) A =Active Code. B=Bundled Code. C =Carriers price the code. D=Deleted Codes. E =Excluded from Physician Fee Schedule by regulation. F=Deleted/Discontinued Codes. G =Not valid for Medicare purposes. g=Gap Code H =Deleted Modifier. I = Not valid for Medicare purposes. N=Noncovered Services. P =Bundled/Excluded Codes. R =Restricted Coverage. T =Injections. X =Statutory Exclusion. A =Active Code. B=Bundled Code. C = Carriers price the code. D = Deleted Codes. E=Excluded from Physician Fee Schedule by regulation. G = Not valid for Medicare purposes. H = Deleted Modifier. I = Not valid for Medicare purposes. N = Noncovered Services. P = Bundled/Excluded Codes. R=Restricted Coverage. T = Injections. X = Statutory Exclusion.

19 RBRVS EZ-Fees Questions and Answers