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In the RBRVS system, payments for services are determined by the resource costs needed to provide them. The cost of providing each service is divided into three components: physician work, practice expense and professional liability insurance.
A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers.
RVUs are the basic component of the Resource-Based Relative Value Scale (RBRVS), which is a methodology used by the Centers for Medicare & Medicaid Services (CMS) and private payers to determine physician payment. RVUs, or relative value units, do not directly define physician compensation in dollar amounts.
CA(NR) stands for California Non-Rural.
The fee schedule is updated annually by the Centers for Medicare and Medicaid Services (CMS) with new rates going into effect January 1 of each year. By law, CMS must publish the new rates in the Federal Register by November of the preceding year.
The resource-based relative value scale (RBRVS) is the physician payment system used by the Centers for Medicare & Medicaid Services (CMS) and most other payers.
APCs are a bundled payment system that averages low- and high-margin hospital services within a single APC. In contrast, the RBRVS captures the relative resource costs of each individual service.
The way Medicare determines how much it will pay physicians, based on the resource costs needed to provide a Medicare-covered service. The RBRVS is calculated using three components: physician work, practice expense and professional insurance.