Relative Value Schedule Table
The Resource-Based Relative Value System (RBRVS or RVS) is the method applied by Medicare to determine payment for physician services. Many third party payers, including state Medicaid programs, Blue Cross Blue Shield agencies, and managed care organizations use variations of the Medicare RBRVS to determine physician reimbursement and capitation rates.
There are several available types of schedules you can use. The most widely and commonly used schedule is the RBRVS by Medicare. Additional schedules include; McGraw-Hill, OMFS (official medical fee schedule used by the Department of Labor for Worker's Compensation), CRVS (California relative value studies developed by the California Medical Association) and Medicaid (developed by the Department of Health Services).
By using RVS Schedule codes, you can evaluate physician productivity based on RVS Unit Values, automatically calculate allowed amounts for various insurance plans based on a 'conversion factor', and perform yearly price comparisons based on allowed amounts.
There are two options available when setting up a RVS Schedule. You can use it to evaluate physician productivity or you can also use it to automatically calculate the allowed amounts. 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.
Note: If you plan on automatically calculating the allowed amounts, you do not need to set up a Fee Schedule.
The Relative Value Schedule Table provides the following functions for managing RVS Schedules: