Many payers use Medicare's Resource Based Relative Value Scale (RBRVS) to compute physician reimbursement schedules, as it provides a uniform method of generating reasonable reimbursement levels.
Milliman's Physician Fee Calculator tool generates both the Medicare fee and a calculated fee based on a user-selected conversion factor. The Physician Fee Calculator:
- calculates fees for years 1999 to 2002
- generates any fee by inputting your own conversion factor (e.g., the 2002 Medicare conversion factor for all services, except Anesthesia, is $36.1992)
- compares procedures in your fee schedule to Medicare's reimbursement
- adjusts for geographic differences using CMS geographic adjustors
- separates fees for the professional and technical components when applicable
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