Conversion Factor in Medical Billing
A conversion factor is a multiplier used to calculate the payment for medical services based on relative value units (RVUs).
Conversion Factor in Medical Billing Explained
In medical billing, the conversion factor is used in the Medicare fee schedule to determine reimbursement rates. The relative value of a service is multiplied by the conversion factor to arrive at the payment amount.
For example, if a procedure has an RVU of 5 and the conversion factor is $35, the reimbursement for the procedure would be $175.
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