Maintain RVS Schedule Unit Values

With the Maintain RVS Schedule Unit Values function, you can enter the unit values for each procedure code. For information about the steps involved in setting up RVS Schedules and the yearly update process, see RVS Schedule Setup Process under the Introduction, System Processes help section.

You should enter the individual unit values for each procedure code using one of these three functions:

Manually enter the amounts.
Copy the amounts from another RVS schedule - Copy RVS Schedules.
Import the amounts - Import RVU Unit Values. You should use this process to save large quantities of data entry time and ensure the accuracy of the data loaded. This will load the unit values for every procedure code stored in your Procedure Code Table into the RVS schedule.

Upon accessing this function, the Maintain RVS Schedule Unit Values screen displays containing blank data fields.

NOTE: After you type the RVS Schedule Code, Effective Date and Procedure Code, you must press the TAB key to view the Relative Value Units (RVU's). If you press the ENTER key, the screen will save and refresh with only the RVS Schedule Code and Effective Date displaying. This is due to an internal programming requirement and cannot be changed.

Data Field Information

Prompt	Response	Len
RVS Schedule Code	Type the code you want or select from the RVS Schedule Code list.	5
Effective Date	Type the effective date for this RVS Schedule or click the calendar icon to select a date.	15
Procedure Code	Type the code you want or click the magnifying glass to search the table.	12
Non Facility Relative Value Unit Input
Total RVU	Type the total Relative Value Unit (RVU) for this procedure code. The Total RVU combines the Work, Practice, and Malpractice RVU's. You can type each individual unit value or you can enter just the Total RVU.	15
Work RVU	Type the Work RVU for this procedure code. The Work RVU is a measure of the 'value' of the physician service.	15
Practice RVU	Type the Practice RVU for this procedure code. The Practice RVU is an estimate of the practice's 'expense' for the service.	15
Malpractice RVU	Type the Malpractice RVU for this procedure code. The Malpractice RVU is an estimate of the 'malpractice cost' of the service.	15
Facility Relative Value Unit Input
Total RVU	Type the total Relative Value Unit (RVU) for this procedure code. The Total RVU combines the Work, Practice, and Malpractice RVU's. You can type each individual unit value or you can enter just the Total RVU.	15
Work RVU	Type the Work RVU for this procedure code. The Work RVU is a measure of the 'value' of the physician service.	15
Practice RVU	Type the Practice RVU for this procedure code. The Practice RVU is an estimate of the practice's 'expense' for the service.	15
Malpractice RVU	Type the Malpractice RVU for this procedure code. The Malpractice RVU is an estimate of the 'malpractice cost' of the service.	15

The 'relative value' of a procedure is based on a value in units, not a dollar amount. For CGM webPRACTICE to calculate the procedure's value (the allowed amount) as a dollar amount, the RVS Schedule pricing algorithm is used.

RVS Schedule Pricing Algorithm
Multiply the Total RVS Unit Value entered for a procedure by the Conversion Factor entered for the Insurance Plan Code.

Since insurance carriers establish the conversion factors, the conversion factors are stored within the Insurance Plan Codes. For information about entering conversion factors, see Maintain Insurance Plan Code Conversion Amounts.

After the Unit Values for each procedure are stored and the Conversion Factor has been entered, you can compare your practice's current procedure amounts against the amounts calculated by the RVS Schedule pricing algorithm using the Print RVS Schedule Comparison report.

After you Save the code, the information refreshes on the screen.

To delete the unit values for a procedure, select the RVS Schedule Code, Effective Date, and Procedure Code. When the unit values display, click Delete in the lower-right corner of the screen.