Physician Fee Calculator

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


TAKE THE NEXT STEP
Request information from a Milliman consultant

 

David Williams
Phone: +1 860.687-2110