RVU Calculation Sample Clauses

The RVU Calculation clause defines the method for determining the value of services based on Relative Value Units (RVUs). It typically outlines how RVUs are assigned to specific medical procedures or services, referencing standardized coding systems and conversion factors to calculate compensation or productivity. This clause ensures a transparent and consistent approach to quantifying and remunerating work, thereby reducing disputes and aligning expectations between parties.
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RVU Calculation. For the purposes of this Section 3.2, RVUs shall be calculated based upon each physician’s CPT coding used for billing purposes. RVUs shall be assigned to each CPT code based upon tables published by the Center for Medicare & Medicaid Services (“CMS”). In the case of multiple procedures, RVUs will be assigned consistent with the methodology utilized by CMS for the Medicare Program. Should any billed codes later be adjusted by the applicable third-party payor, a retrospective adjustment shall be made to the physician’s RVUs, to reflect the revised coding. With respect to any procedure or service not covered by existing CPT codes or where the applicable CPT code does not list RVUs (for example where a procedure is listed “By Report” without an applicable RVU applied), Employer shall determine the appropriate RVU value.