|
As a result of the Medicare, Medicaid, and SCHIP Extension Act of 2007, effective for claims with dates of service January 1, 2008 through June 30, 2008, the update to the conversion factor will be 0.5% ($38.0870); and for claims with dates of service July 1, 2008 and after, will revert back to the previous payment methodology (the -10.1% update) that was outlined in the Final Rule, published in the Federal Register on November 27, 2007. The information that is provided on the physician fee schedule (PFS) web page relates to payment under the PFS and related information concerning the development of the payment amounts. This information is intended for physicians/non-physicians who provide services to Medicare beneficiaries. This information is updated on regular basis when there are payment/policy changes. The formula for calculating 2008 physician fee schedule payment amount is as follows: 2008 Non-Facility Pricing Amount = ((Work RVU * Budget Neutrality Adjustor (0.8806)) (round product to two decimal places) * Work GPCI) + (Transitioned Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor 2008 Facility Pricing Amount = ((Work RVU * Budget Neutrality Adjustor (0.8806)) (round product to two decimal places) * Work GPCI) + (Transitioned Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (Note: When applying the 0.8806 work adjustor to the work RVU you must round the product to two decimal places.) PHYSICIAN CENTER
For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) physicians, go to the Physician Center (see under "Related Links Inside CMS" below).
Page Last Modified: 01/07/2008 7:49:11 AM
Help with File Formats and Plug-Ins
Submit Feedback
|
Email
Print