DESCRIPTION | This option generates a report of the estimated savings or cost from useof the RBRVS Fee Schedule during a user-specified date range. The DateFinalized field is used to select the payments. The results are groupedand reported by CPT CODE-CPT MODIFIER(S) values. Additional detail isprinted when the output device supports 130 characters per line. Thereport columns are described below: Total Occurrences: The count and total amount paid for all payments. Payments at RBRVS: The count and total amount paid for payments whose amount paid is equal to the RBRVS fee schedule amount that was calculated during payment entry. Estimated Payment if RBRVS was not used: This column is only displayed when the output device supports 130 characters per line. It displays what the system believes might have been paid if the RBRVS fee schedule had not been implemented. If the service is covered by the VA 75th Percentile Fee schedule, then the system assumes that payment would have been made at that amount. Otherwise, the system assumes that the amount claimed is usual & customary and would have been paid. Est. Savings from RBRVS: The estimated payment amounts minus the actual RBRVS payment amounts. Negative values are shown in parenthesis. |