RBRVS EZ-Fees for 2015 is available for immediate delivery 

The 2015 Conversion Factor is $35.8013 

For the last several years we were unable to ship the first release of RBRVS EZ-Fees prior to January 1st due to pending SGR (Sustainable Growth Rate) legislation. This year Congress agreed to delay this debate aka “Doc Fix” until April 1st 2015. This legislation will either change the current SGR fee up-date process, or enact 'doc-fix’ patch” legislation which will temporarily prevent a -20% reduction. In either case a “new” Conversion Factor equal to or greater than the current one will become effective on or about April 1. 

In our opinion it is not likely that Congress and the President will decrease Medicare rates -20% as per SGR.

Let us keep you up-to -date with the #1 RBRVS solution on the market.  Create accurate defensible fee schedules in seconds without reinventing the wheel. Let us do the math and keep up with federal legislation. Includes free updates for the calendar year. 

FREE Demo 

download_now (2K)

Features

Related Products

screen shot

Click on the screen shot above for a tour and table details .

Since 1998, RBRVS EZ-Fees has helped thousands of health care professionals simplify the Medicare payment formula. With a few clicks you can create medical fee schedules without government downloads or complicated formulas. Most users have mastered our software in 5 minutes! 

Our customers include: 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.  RBRVS EZ-Fees comes with all *CPT / HCPCS codes, descriptions, unit values, GPCIs, conversion factor (CF) preloaded. *A licensed AMA CPT product.

100% Money Back Guarantee 

Orders shipped with 24 hours of prepayment

More information...

RBRVS EZ-Fees is a low cost, easy-to-use (Windows) software program that creates and analyzes physician payments using Medicare's RBRVS (Resource Based Relative Value Scale). All US localities included.  

RBRVS is not just for Medicare.  According to the AMA, RBRVS is widely used in non Medicare medical reimbursement including managed care and private insurance.  Most states' worker compensation boards including California have adopted RBRVS as their payment model due to its universal acceptance. 

All CMS (coding and fee updates are FREE with RBRVS EZ-Fees for the Fiscal Year. Visit our update page for simple download instructions.

Users can export fees, unit values, codes, descriptions and notes for over 10,000 CPT/HCPCS codes to Excel, ASCII, Lotus or dBASE or print custom reports.

Also includes 5 user defined fee and frequency schedules per session. Allows for unlimited sessions! 

RBRVS EZ-Fees is so easy-to-use there is only one main screen and no technical manual! (free technical support if needed) 

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

Section  603 - Extension Related to Payments for Medicare Outpatient Therapy Services - Section 603 extends the exceptions process for outpatient therapy caps through December 31, 2013.  Providers of outpatient therapy services are required to submit the KX modifier on their therapy claims, when an exception to the cap is requested for medically necessary services furnished through December 31, 2013.  In addition, the new law extends the application of the cap and threshold to therapy services furnished in a hospital outpatient department (OPD), and counts outpatient therapy services furnished in a Critical Access Hospital towards the cap and threshold.  Additional information about the exception process for therapy services may be found in the Medicare Claims Processing Manual, Pub.100-04, Chapter 5, Section 10.3: 

The therapy caps are determined for a beneficiary on a calendar year basis, so all beneficiaries began a new cap for outpatient therapy services received on January 1, 2013.  For physical therapy and speech language pathology services combined, the 2013 limit for a beneficiary on incurred expenses is $1,900.  There is a separate cap for occupational therapy services which is $1,900 for 2013.  Deductible and coinsurance amounts applied to therapy services count toward the amount accrued before a cap is reached, and also apply for services above the cap where the KX modifier is used.

Section 603 also extends the mandate that Medicare perform manual medical review of therapy services furnished January 1, 2013 through December 31, 2013, for which an exception was requested when the beneficiary has reached a dollar aggregate threshold amount of $3,700 for therapy services, including OPD therapy services, for a year.  There are two separate $3,700 aggregate annual thresholds:  (1) physical therapy and speech-language pathology services, and (2) occupational therapy services.

Section  604 - Extension of Ambulance Add-On Payments - Section 604 extends the following three Job Creation Act ambulance payment provisions: (1) the 3 percent increase in the ambulance fee schedule amounts for covered ground ambulance transports that originate in rural areas and the 2 percent increase for covered ground ambulance transports that originate in urban areas is extended through December 31, 2013; (2) the provision relating to air ambulance services that continues to treat as rural any area that was designated as rural on December 31, 2006, for purposes of payment under the ambulance fee schedule, is extended through June 30, 2013; and (3) the provision relating to payment for ground ambulance services that increases the base rate for transports originating in an area that is within the lowest 25th percentile of all rural areas arrayed by population density (known as the “super rural” bonus) is extended through December 31, 2013.

CMS is currently revising the 2013 Medicare Ambulance Fee Schedule (MAFS) to reflect the new law’s requirements.  In order to allow sufficient time to develop, test, and implement the revised MAFS, Medicare claims administration contractors may hold MAFS claims with January 2013 dates of service for up to 10 business days (i.e., through January 15, 2013).  We expect these claims to be released into processing no later than January 16, 2013.  The claim hold should have minimal impact on supplier cash flow because, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 for paper claims) after the date of receipt.  Claims with dates of service prior to January 1, 2013, are unaffected. 

Suppliers of ambulance services affected by these provisions may continue billing as usual.

Section 605 - Extension of Medicare Inpatient Hospital Payment Adjustment for Low-Volume Hospitals - The Affordable Care Act allowed qualifying low-volume hospitals to receive add-on payments based on the number of Medicare discharges.  To qualify, the hospital must have less than 1,600 Medicare discharges and be 15 miles or greater from the nearest like hospital.  This provision extends the payment adjustment through September 30, 2013, retroactive to October 1, 2012.  Be on the alert for further information about implementation of this provision.

Section 606 - Extension of the Medicare-Dependent Hospital (MDH) Program - The MDH program provides enhanced payment to support small rural hospitals for which Medicare patients make up a significant percentage of inpatient days or discharges.  This provision extends the MDH program until October 1, 2013, and is retroactive to October 1, 2012.  Be on the alert for further information about implementation of this provision.

 

Copyright © 1998-2015 Wasserman Medical Publishers, Ltd, All rights reserved.