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Building Your Own RVU Calculator Gets Cooler for 2011

I know it's overdue, but it's worth the wait.

Introducing the 2011 BYORVUC - or, the "2011 Build Your Own RVU Calculator."  As you may know, the AMA won't let anyone provide a free RVU calculator due to their CPT copyrights.  In an abundance of caution and, because in our unhappy experience, the American Medical Association interprets its rights (in our opinion) overly broadly, we created this tool nly for those of you who have a CPT license that allows for a use such as this. 

To make a long story short, you can use this spreadsheet with the data that you can download from CMS to make a fairly sophisticated RVU calculator in about 5 minutes.  

What does it do?  It allows you to choose your CMS-driven location, set a Medicare Multiplier, and then, on a code-by-code basis, determine your pricing level.  If you then take the time to include your code volume and pricing, it will determine your practice's FACF (i.e., how much you charge, on average, relative to Medicare).  If you then provide your payment information, it will compare it to the Medicare fee schedule for you.  

All around, pretty cool I say in all immodesty.

I have created both an OpenOffice version of the tool and, sigh, a Microsoft Excel version as well.

How does it work?  

 

  1.  Download one of the above spreadsheets.
  2.  Head to CMS and download the 2011 RVU zip file.  You have to agree to the license and usage rules from CMS, of course.  My link above points to version A in 2011; CMS usually releases a few revisions through the year, but they usually don't affect pediatrics and primary care.
  3.  Extract the PPRRVU11.xlsx file from the zip file.  Yes, I think it's completely lame that our federal government uses a proprietary format for this data, especially one (the new .xlsx) that not everyone who even owns Excel can open.  Grrrrr.
  4.  Cut and paste the entire page of data from the PPRRVU11.xlsx file into the tab marked "PPRRVU11" in the RVU Calculator spreadsheet.  Don't panic if it seems to freeze for a minute, it's a lot of data.
  5.  Choose your locality with the pulldown menu.  Pick a Medicare Multiplier. Then, enter some CPT codes in column A.  Gasp in amazement.
  6.  Put some unit volumes, prices, and payments in and watch what happens.  Any field marked in a light blue-gray is a place where you can enter info.

 

I'd love for some guinea pigs to try this out and tell me what doesn't work.  PCC clients, natch, can do this already with our reports, so I want to hear from the rest of you :-)

 

 

 

AttachmentSize
rvu-byo11.ods53.5 KB
rvu-byo11-excel2003.xls877 KB

Building Your Own RVU

Pretty cool programs you are sharing that is very generous of you. Do you think AMA will ever be made to come off their control some on CPT?

 

Building Your Own RVU

Not without replacing the ~$40 million or whatever they make every year from copyright fees, no :-)

 

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog

 

RVU program

That is amazing. Maybe not the most complicated of programming for an experienced programmer (OK I am not a programmer so I am impressed!) but nonetheless, I can't believe you would share something so valuable for free.

RVU program

I had to do it for myself, so why not share? :-)

 

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog

 

RUV Calculator and Medicare Multiplier

I apologize ahead of time if this is a beginner question, what is a Medicare Multiplier and how do I decide what number to use?  Thanks in advance for help

RUV Calculator and Medicare Multiplier

The Medicare multiplier is the number used by Medicare to convert RVUs to dollars.  Historically, it has been in the $33-37 range.  In 2011, I believe it is $33.98. 

The value is filled in for you on the spreadsheet.

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog

 

wrvu calc

need help pasting the data on to the pprrvu12 tab. cant seem to get it to work. any suggestions? thanks. hm

wrvu calc

I need a little more information to help you with the problem. What happens when you try to past the information?  Any error messages? What's not working?

 

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog

 

RVU Calculator

I followed the instructions and have pasted the CMS fee schedule table, yet when I add the cpt codes and descriptions to the front page, nothing happens.  Should it automatically populate information?  Thanks Emma

cant get the pprrvu date into the spreadsheet

having trouble pasting the pprrvu file into the spread sheet. there is no "paste" command when i right click the tab on the rvu calculator. any suggestions/

cant get the pprrvu date into the spreadsheet

If there is no paste command, the problem is likely one of these two scenarios:

  1.  You don't have anything in your "clipboard".  You can check this by opening a new spreadsheet and trying to paste into it.  If it's still greyed-out, then you aren't copying right.
  2.  However, if you CAN paste into a new spreadsheet, chances are the problem is that the spreadsheet you're pasting into is still "write protected."  Trying "saving as..." something with a different name and see what happens!

 

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog

 

can't paste pprrvu

Hello, I don't think I'm doing anything wrong but I may be... I tried cutting/pasting the entire page as you described but got an entire page of #REFI fields, (invalid cell reference error).  I thought it might be that I had included the headers so I cut those out. Same result. Help please? Thanks, this calculator looks like it would keep me from having to reinvent the wheel!

can't paste pprrvu

#REF errors can be caused by many, many things, unfortunately.  Please leave the headers in, though, I expect those.  If you send me a copy of your file (email below), I can probably figure it out in 2 seconds.

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog

 

Building Your Own RVU

I am not in peds but I was digging around for RVU info and found your site. Thing is ingenius and worked perfectly. Took me less than 5 min to create and saved me a TON of work because I was getting ready to build my own! If you are ever in Calif, I owe you lunch. Thanks for sharing :)

Building Your Own RVU

Anyone who refers to our work as ingenius gets lunch on us whenever they are in Vermont :-)  Glad it helped!

 

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog

 

Modifiers

This program is great ... Thanks for sharing

 

How do you get it to work for CPT code that you want the 26 or TC modifier added

Example: 95951 has 0 RVU's  on the PPRVU report but there are RVU's on 95951-26 and 95951-TC how do I get this to work ... Do you happen to know why 95951 would have 0 RVU's?  We bill this and Medicare allows $905.07 so not sure why zero value

Modifiers

First, modifiers:  no, the program doesn't pick those up.  I work with primary care offices (pediatricians, really), so the -26 and -TC aren't very meaningful usually and I haven't taken the time to figure out how to incorporate them.  Sorry about that!

One easy fix - go into the PPRRVU tab and edit the 95951 CPT code with the modified to have "95951TC" in the first column and then it can appear that way in the calculations.

As for why you are getting $0 - it looks like neither the -TC or plain 95951 codes has any RVUs, just the -26 modifed code, you're right.  No idea why!

 

Chip Hart - Pediatric Solutions
chip @ pcc.com
800-722-7708
http://pedsource.com/blog