Federal
Formula for computing fee schedule amounts.
42 CFR § 414.20
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42 CFR § 414.20
42 CFR § 414.20
Formula for computing fee schedule amounts.
(a)
Participating supplier. The fee schedule amount for a participating supplier for a physician service as defined in § 414.2 is computed as the product of the following amounts:
(1)
The RVUs for the service.
(2)
The GAF for the fee schedule area.
(3)
The CF.
(b)
Nonparticipating supplier. The fee schedule amount for a nonparticipating supplier for a physician service as defined in § 414.2 is 95 percent of the fee schedule amount as calculated in paragraph (a) of this section.
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