2020 Medicare RBRVS & Payment Sourcebook

Available December 2019

Set a defensible fee schedule and gain leverage with payers at the negotiation table to ensure you’re paid fairly from payers and patients with the 2020 Medicare RBRVS & Payment Sourcebook.

Newly updated with the most current CPT^® and HCPCS level codes, facility and non-facility RVUs and reimbursement rates, medical practice billers will be fully armed with the critical reimbursement data they need to ensure fair out-of-network reimbursement from payers, optimize contracts and compare Medicare-based fee schedules against local fair market charges for top services.

See why the best provider organizations and consultants rely on the 2020 Medicare RBRVS & Payment Sourcebook to handle these crucial aspects of the revenue cycle – order your copy today!

Features include:

• UPDATED! Complete list of all 2020 CPT® and HCPCS Level II codes—including abbreviated descriptions with RVUs and other critical reimbursement data.
  
  
• UPDATED! Facility and non-facility RVU totals and breakdowns—for work, practice expense and malpractice components for each CPT and HCPCS Level II code.
  
  
• UPDATED! Facility and non-facility Reimbursement Rates—providing invaluable information for setting fees.
  
  
• UPDATED! Professional component, technical component and global RVUs—provided for radiology and other services with separately billable professional and technical components.
  
  
• UPDATED! OPPS Cap RVUs—and instructions for determining when these RVUs apply.
  
  
• UPDATED! Conversions Factor Updates for 2020.
  
  
• UPDATED! Review of recent legislation—impacting the Medicare Physician.
  
  
• Instructions on comparing fees by payer—to evaluate the reimbursement mix for your practice.
  
  
• Steps to Practice Fee Schedule Preparation—guidance on using RBRVS to determine your out-of-network/out-of-pocket service fees.
  
  
• Preoperative, Intra-operative and Postoperative percentages—help you determine appropriate payment when a physician provides only a portion of the global surgical service.
  
  
• Detailed instructions for calculating locality specific fees—using Geographic Practice Cost Indices (GPCIs).
  
  
• Modifier information—helps you determine which modifier rules apply to each CPT and HCPS Level II code.