U S Department of Health and Human Services www.hhs.gov
  CMS Home > Medicare > Physician Fee Schedule > Overview

Overview

The information that is provided on the physician fee schedule (PFS) web page relates to payment under the PFS and related information concerning the development of the payment amounts.  This information is intended for physicians/non-physicians who provide services to Medicare beneficiaries.  This information is updated on regular basis when there are payment/policy changes.

The formula for calculating 2009 physician fee schedule payment amount is as follows:

 

2009 Non-Facility Pricing Amount =

[(Work RVU * Work GPCI) +

(Transitioned Non-Facility PE RVU * PE GPCI) +

(MP RVU * MP GPCI)] * Conversion Factor (CF)

 

2009 Facility Pricing Amount =

[(Work RVU * Work GPCI) +

(Transitioned Facility PE RVU * PE GPCI) +

(MP RVU * MP GPCI)] * CF 

 

PHYSICIAN CENTER
For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) physicians, go to the Physician Center (see under "Related Links Inside CMS" below).

Downloads

Town Hall Practice Expense Data Files - Posted 02/15/2006
Public Use Tables [ZIP, 100KB]

HCPCS Level File [ZIP, 6 MB]

Example Calculation File [ZIP, 3KB]

2007 Practice Expense Per Hour Data [ZIP, 6KB]

CPEP Files - 02/23/2006 [ZIP, 1.8MB]

Utilization File [ZIP, 1.3MB]

Related Links Inside CMS
MLN Matters Article MM5498 - Additional Changes to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) [PDF, 82KB]

MLN Matters Article MM5459 - Emergency Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB)

Physician Center
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Page Last Modified: 11/03/2008 11:06:33 AM
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