RVU Report

athenaCollector + athenaClinicals

The RVU report provides information about the RVU values assigned to the procedures performed by your organization.

To run the RVU report

Display the Report Library: On the Main Menu, click Reports. Under General, click Report Library.
Click the Other tab.
Click run next to RVU Report in the Standard Reports section of the tab.
The Run Report: RVU Report page appears.
Date Range — Enter the start and end dates for the report, or select a date range from the menu.
Apply Date Range To — Select an option from the menu. The date range applies to the option you select in this field.

Post Date — Include only transactions with a post date in the selected date range.
Service Date — Include only transactions associated with a claim in the selected date range. Transactions for unapplied money cannot be included in the report.

Transaction Detail — By default, only the transaction details in the Selected list are included in the RVU report, but you can add and delete transaction details. Each selected item appears as a column in the RVU report.

To include additional transaction details in the report, select the details from the list.
To remove transaction details from the Selected list, click the X icon next to the item.
To include all transaction details, select All.

Note: Include only those items needed for your report. Each additional selection slows down the generation of the report.

Included Supplemental RVU Fields — By default, supplemental RVU fields are not included in the RVU report. Each selected supplemental field appears as a column in the report.

To report on specific supplemental RVU fields only, deselect the Hide All option and select the supplemental RVU fields that you want to include in the report.
To include all supplemental RVU fields in the report, click All.

Note: Include only those items needed for your report. Each additional selection slows down the generation of the report.

Insurance Reporting Category — By default, insurance reporting categories are not included in the RVU report. You can use this field to include the Insurance Reporting Category column in the report.

To report on transactions for specific insurance reporting categories only, deselect the Hide All option and select the IRCs that you want to include in the report.
To include all insurance reporting categories in the report, click All.

Custom Insurance Group — By default, custom insurance groups are not included in the RVU report. You can use this field to include the Custom Insurance Group column in the report.

To report on transactions for specific custom insurance groups only, deselect the Hide All option and select the custom insurance groups that you want to include in the report.
To include all custom insurance groups in the report, click All.

Procedure Code Group — By default, procedure code groups are included in the RVU report. You can use this field to report on transactions for specific procedure code groups only or to remove this column from the report.

To include only some procedure code groups in the report, click Selected and then select the procedure code groups.
To remove the Procedure Code Group column from the report, click Selected and then select Hide All.

Rendering Provider — By default, the rendering provider username is included in the RVU report. You can use this field to report on transactions for specific rendering providers only or to remove this column from the report.

To include only some rendering providers in the report, click Selected and then select the rendering providers.
To remove the Rendering Provider column from the report, click Selected and then select Hide All.

Note: If providers are configured with multiple names on the Providers page, we recommend that you use the Hide All option for Rendering Provider and instead use the Rendering Provider NPI field to specify the rendering providers for the report.

Rendering Provider NPI — By default, rendering provider NPIs are not included in the RVU report. You can use this field to include the Rendering Provider NPI column in the report.

To report on transactions for specific rendering provider NPIs, deselect the Hide All option and select the rendering provider NPIs that you want to include in the report.
To include all rendering provider NPIs in the report, click All.

Rendering Provider Specialty — By default, the rendering provider specialty is included in the RVU report. You can use this field to report on transactions for specific rendering provider specialties only or to remove this column from the report.

To include only some specialties in the report, click Selected and then select the rendering provider specialties.
To remove the Rendering Provider Specialty column from the report, click Selected and then select Hide All.

Rendering Provider Group — By default, the provider group of the rendering provider is included in the RVU report. You can use this field to report on transactions for specific provider groups only or to remove this column from the report.

To include only some provider groups in the report, click Selected and then select the rendering provider groups.
To remove the Rendering Provider Group column from the report, click Selected and then select Hide All.

Rendering Medical Group — By default, the medical group of the rendering provider is included in the RVU report. You can use this field to report on transactions for specific medical groups only or to remove this column from the report.

To include only some medical groups in the report, click Selected and then select the rendering medical groups.
To remove the Rendering Medical Group column from the report, click Selected and then select Hide All.

Supervising Provider — By default, the supervising provider username is included in the RVU report. You can use this field to report on transactions for specific supervising providers only or to remove this column from the report.

To include only some supervising providers in the report, click Selected and then select the supervising providers.
To remove the Supervising Provider column from the report, click Selected and then select Hide All.

Note: If providers are configured with multiple names on the Providers page, we recommend that you use the Hide All option for Supervising Provider and instead use the Supervising Provider NPI field to specify the supervising providers for the report.

Supervising Provider NPI — By default, supervising provider NPIs are not included in the RVU report. You can use this field to include the Supervising Provider NPI column in the report.

To report on transactions for specific supervising provider NPIs, deselect the Hide All option and select the supervising provider NPIs that you want to include in the report.
To include all supervising provider NPIs in the report, click All.

Supervising Provider Specialty — By default, the supervising provider specialty is included in the RVU report. You can use this field to report on transactions for specific supervising provider specialties only or to remove this column from the report.

To include only some specialties in the report, click Selected and then select the supervising provider specialties.
To remove the Supervising Provider Specialty column from the report, click Selected and then select Hide All.

Supervising Provider Group — By default, the provider group of the supervising provider is included in the RVU report. You can use this field to report on transactions for specific provider groups only or to remove this column from the report.

To include only some provider groups in the report, click Selected and then select the supervising provider groups.
To remove the Supervising Provider Group column from the report, click Selected and then select Hide All.

Supervising Medical Group — By default, the medical group of the supervising provider is included in the RVU report. You can use this field to report on transactions for specific medical groups only or to remove this column from the report.

To include only some medical groups in the report, click Selected and then select the supervising medical groups.
To remove the Supervising Medical Group column from the report, click Selected and then select Hide All.

Service Department — By default, the service department is included in the RVU report. You can use this field to report on transactions for specific service departments only or to remove this column from the report.

To include only some service departments in the report, click Selected and then select the service departments.
To remove the Service Department column from the report, click Selected and then select Hide All.

Service Department Group — By default, the service department group is included in the RVU report. You can use this field to report on transactions for specific service department groups only or to remove this column from the report.

To include only some service department groups in the report, click Selected and then select the service departments groups.
To remove the Service Department Group column from the report, click Selected and then select Hide All.

Place of Service — By default, the place of service is included in the RVU report. You can use this field to report on transactions for specific places of service only or to remove this column from the report.

To include only some places of service in the report, click Selected and then select the places of service.
To remove the Place of Service column from the report, click Selected and then select Hide All.

Subtotal By — You can use this field to include subtotal rows in the report and specify the fields that should be subtotaled.
For example, to report on RVU data from last quarter based on service date for each month and rendering provider, select Month of Service and Rendering Provider in the Subtotal By field (the Rendering Provider field must not be set to Hide All).

To display subtotal rows, deselect the Hide All option and select the fields to subtotal in the report.
To include all subtotals in the report, click All.

Note: Subtotal rows are shown at the bottom of the report.

Don't Apply GPCI Location Multipliers — By default, RVU amounts are multiplied by the Geographic Practice Cost Index (GPCI) established by CMS (see Relative Value Units (RVUs)). If you do not want to adjust the report values using the GPCI, select this option.
Insurance Package — To report on transactions for specific insurance packages only, click Selected, enter text to display a list of matching insurance packages, and then select the packages.
Note: You cannot exclude all insurance packages from the report.
Procedure Code — To report on transactions for specific procedure codes only, click Selected, enter text to display a list of matching procedure codes, and then select the procedure codes.
Note: You cannot exclude all procedure codes from the report.
Hide Patient Detail — To exclude the patient's first name, last name, and patient ID from the report, select this option.
Show Only Subtotals — To exclude transaction-specific data from the report and display only aggregate transactions as specified with the Subtotal By filter, select this option.
Display Stripped Procedure Codes — To exclude modifiers from the Procedure Code column, select this option.
Report Format — Select the format for your report results.

HTML table — Display the report results on your screen.
Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format.
Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.

Report Options — Select report options.

Suppress Column Headings — Select this option to remove column headings from the report results.
Suppress Report Name — Select this option to remove the report name from the report results.
Show Filter Criteria — Select this option to include your selected filter criteria in the report results.
Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.

Click Run Report.

Features and workflows

Relative value units (RVUs) were established by CMS to compensate physicians for their services. RVUs are assigned to each code and modifier combination in the HCPCS list (with the exception of the anesthesia-related codes, which are codes between 00100 and 01999), and are updated roughly quarterly.

The CMS Glossary defines RVU as follows:

"Relative Value Unit (RVU): Basic element of measure for the Medicare Resource-Based Relative Value Scale (RBRVS). Each service is assigned relative value units for physician work, practice expenses and professional liability insurance. The three added together are the relative value of the service. RVUs are modified by geographic practice cost index values to compensate for regional variations in practice costs."

Note: You can access the CMS Glossary from the Code and Knowledge Base (On the Main Menu, click Claims. Under RESOURCES, click Code and Knowledge Base.

Relative value units represent the relative intensity of resources required to care for a range of diseases and conditions (CPT codes) and are made up of these components:

Physician work (52%) — Amount of time and effort put into a certain procedure. A procedure that takes more time or skill from the physician may have a higher work RVU component than a procedure that requires less.
Practice expense (44%) — Cost of equipment and supplies (also referred to as "overhead"). A procedure that requires more resources from the facility (for example, higher costs of equipment, supplies, or non-physician staff) would have a higher practice expense component.
Malpractice expense (4%) — Estimate based on the risk per specialty (also referred to as "professional liability"). The malpractice component is meant to offset the cost of liability insurance by the physician and is usually small.

For more information about RVUs and RVU components, see Relative Value Units (RVUs).

Custom RVU values and modifiers

CMS specifies RVU values for:

Stripped CPTs (CPTs with no associated modifier)
CPT/fee-affecting modifier combination

Note: CMS uses these standard fee-affecting modifiers: TC, 26, and 53. These modifiers can be associated with a procedure code in your fee schedule or you can add them (as an "other modifier") during charge entry.

athenaOne assigns the CMS RVU values to a charge by first checking for a fee-affecting modifier and then verifying whether a defined CMS value exists for the CPT/modifier combination. If the charge has no fee-affecting modifier or if CMS does not specify any RVU values for this CPT/modifier combination, athenaOne uses the stripped CPT to select the RVU values.

When you run the RVU report, athenaOne works with modifiers as follows.

If the charge has a fee-affecting modifier, the report looks for the exact CPT/modifier combination in the Custom RVU Procedure Values map on the Custom Report Mappings page and uses the associated RVU values.
If the Custom RVU Procedure Values map on the Custom Report Mappings page does not contain the CPT/modifier combination, or if the charge has no fee-affecting modifier, the report looks for an exact match of the procedure code and uses the associated RVU values.
If the Custom RVU Procedure Values map does not contain the CPT/modifier combination or the procedure code, the report looks for the stripped CPT (removing all associated modifiers).
If the Custom RVU Procedure Values map does not contain the stripped CPT, the report uses the standard CMS RVU values.
Note: If CMS does not define RVU values for the particular CPT, the report returns a value of zero.

Field Reference

Run Report: RVU Report
Date Range	Enter the start and end dates for the report, or select a date range from the menu. Note: If your fiscal year does not align with the calendar year, you can select date ranges for the fiscal year or the calendar year, for example, Fiscal Quarter-to-Date, Previous Fiscal Year, Previous Calendar Quarter, or Calendar Year thru Previous Month.
Apply Date Range To	Select an option from the menu. The date range applies to the option you select in this field. Post Date — Include only transactions with a post date in the selected date range. Service Date — Include only transactions associated with a claim in the selected date range. Transactions for unapplied money cannot be included in the report.
Transaction Detail	By default, only the transaction details in the Selected list are included in the RVU report, but you can add and delete transaction details. Each selected item appears as a column in the RVU report. To include additional transaction details in the report, select the details from the list. To remove transaction details from the Selected list, click the X icon next to the item. To include all transaction details, select All. Note: Include only those items needed for your report. Each additional selection slows down the generation of the report.
Included Supplemental RVU Fields	By default, supplemental RVU fields are not included in the RVU report. Each selected supplemental field appears as a column in the report. To report on specific supplemental RVU fields only, deselect the Hide All option and select the supplemental RVU fields that you want to include in the report. To include all supplemental RVU fields in the report, click All. Note: Include only those items needed for your report. Each additional selection slows down the generation of the report.
Insurance Reporting Category	By default, insurance reporting categories are not included in the RVU report. You can use this field to include the Insurance Reporting Category column in the report. To report on transactions for specific insurance reporting categories only, deselect the Hide All option and select the IRCs that you want to include in the report. To include all insurance reporting categories in the report, click All.
Custom Insurance Group	By default, custom insurance groups are not included in the RVU report. You can use this field to include the Custom Insurance Group column in the report. To report on transactions for specific custom insurance groups only, deselect the Hide All option and select the custom insurance groups that you want to include in the report. To include all custom insurance groups in the report, click All.
Procedure Code Group	By default, procedure code groups are included in the RVU report. You can use this field to report on transactions for specific procedure code groups only or to remove this column from the report. To include only some procedure code groups in the report, click Selected and then select the procedure code groups. To remove the Procedure Code Group column from the report, click Selected and then select Hide All.
Rendering Provider	By default, the rendering provider username is included in the RVU report. You can use this field to report on transactions for specific rendering providers only or to remove this column from the report. To include only some rendering providers in the report, click Selected and then select the rendering providers. To remove the Rendering Provider column from the report, click Selected and then select Hide All. Note: If providers are configured with multiple names on the Providers page, we recommend that you use the Hide All option for Rendering Provider and instead use the Rendering Provider NPI field to specify the rendering providers for the report.
Rendering Provider NPI	By default, rendering provider NPIs are not included in the RVU report. You can use this field to include the Rendering Provider NPI column in the report. To report on transactions for specific rendering provider NPIs, deselect the Hide All option and select the rendering provider NPIs that you want to include in the report. To include all rendering provider NPIs in the report, click All.
Rendering Provider Specialty	By default, the rendering provider specialty is included in the RVU report. You can use this field to report on transactions for specific rendering provider specialties only or to remove this column from the report. To include only some specialties in the report, click Selected and then select the rendering provider specialties. To remove the Rendering Provider Specialty column from the report, click Selected and then select Hide All.
Rendering Provider Group	By default, the provider group of the rendering provider is included in the RVU report. You can use this field to report on transactions for specific provider groups only or to remove this column from the report. To include only some provider groups in the report, click Selected and then select the rendering provider groups. To remove the Rendering Provider Group column from the report, click Selected and then select Hide All.
Rendering Medical Group	By default, the medical group of the rendering provider is included in the RVU report. You can use this field to report on transactions for specific medical groups only or to remove this column from the report. To include only some medical groups in the report, click Selected and then select the rendering medical groups. To remove the Rendering Medical Group column from the report, click Selected and then select Hide All.
Supervising Provider	By default, the supervising provider username is included in the RVU report. You can use this field to report on transactions for specific supervising providers only or to remove this column from the report. To include only some supervising providers in the report, click Selected and then select the supervising providers. To remove the Supervising Provider column from the report, click Selected and then select Hide All. Note: If providers are configured with multiple names on the Providers page, we recommend that you use the Hide All option for Supervising Provider and instead use the Supervising Provider NPI field to specify the supervising providers for the report.
Supervising Provider NPI	By default, supervising provider NPIs are not included in the RVU report. You can use this field to include the Supervising Provider NPI column in the report. To report on transactions for specific supervising provider NPIs, deselect the Hide All option and select the supervising provider NPIs that you want to include in the report. To include all supervising provider NPIs in the report, click All.
Supervising Provider Specialty	By default, the supervising provider specialty is included in the RVU report. You can use this field to report on transactions for specific supervising provider specialties only or to remove this column from the report. To include only some specialties in the report, click Selected and then select the supervising provider specialties. To remove the Supervising Provider Specialty column from the report, click Selected and then select Hide All.
Supervising Provider Group	By default, the provider group of the supervising provider is included in the RVU report. You can use this field to report on transactions for specific provider groups only or to remove this column from the report. To include only some provider groups in the report, click Selected and then select the supervising provider groups. To remove the Supervising Provider Group column from the report, click Selected and then select Hide All.
Supervising Medical Group	By default, the medical group of the supervising provider is included in the RVU report. You can use this field to report on transactions for specific medical groups only or to remove this column from the report. To include only some medical groups in the report, click Selected and then select the supervising medical groups. To remove the Supervising Medical Group column from the report, click Selected and then select Hide All.
Service Department	By default, the service department is included in the RVU report. You can use this field to report on transactions for specific service departments only or to remove this column from the report. To include only some service departments in the report, click Selected and then select the service departments. To remove the Service Department column from the report, click Selected and then select Hide All.
Service Department Group	By default, the service department group is included in the RVU report. You can use this field to report on transactions for specific service department groups only or to remove this column from the report. To include only some service department groups in the report, click Selected and then select the service departments groups. To remove the Service Department Group column from the report, click Selected and then select Hide All.
Place of Service	By default, the place of service is included in the RVU report. You can use this field to report on transactions for specific places of service only or to remove this column from the report. To include only some places of service in the report, click Selected and then select the places of service. To remove the Place of Service column from the report, click Selected and then select Hide All.
Subtotal By	You can use this field to include subtotal rows in the report and specify the fields that should be subtotaled. For example, to report on RVU data from last quarter based on service date for each month and rendering provider, select Month of Service and Rendering Provider in the Subtotal By field (the Rendering Provider field must not be set to Hide All). To display subtotal rows, deselect the Hide All option and select the fields to subtotal in the report. To include all subtotals in the report, click All. Note: Subtotal rows are shown at the bottom of the report.
Don't Apply GPCI Location Multipliers	By default, RVU amounts are multiplied by the Geographic Practice Cost Index (GPCI) established by CMS (see Relative Value Units (RVUs)). If you do not want to adjust the report values using the GPCI, select this option.
Insurance Package	To report on transactions for specific insurance packages only, click Selected, enter text to display a list of matching insurance packages, and then select the packages. Note: You cannot exclude all insurance packages from the report.
Procedure Code	To report on transactions for specific procedure codes only, click Selected, enter text to display a list of matching procedure codes, and then select the procedure codes. Note: You cannot exclude all procedure codes from the report.
Hide Patient Detail	To exclude the patient's first name, last name, and patient ID from the report, select this option.
Show Only Subtotals	To exclude transaction-specific data from the report and display only aggregate transactions as specified with the Subtotal By filter, select this option.
Display Stripped Procedure Codes	To exclude modifiers from the Procedure Code column, select this option.
Report Format	Select the format for your report results. HTML table — Display the report results on your screen. Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format. Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.
Report Options	Select other options for your report results. Suppress Column Headings — Select this option to remove column headings from the report results. Suppress Report Name — Select this option to remove the report name from the report results. Show Filter Criteria — Select this option to include your selected filter criteria in the report results. Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.
Column Headings
Patient ID	athenaOne ID for the patient (click the link to display the Quickview).
Patient First Name	Patient's first name.
Patient Last Name	Patient's last name.
Charge ID	Each row in the report corresponds to a CHARGE or TRANSFERIN transaction. This field displays the associated transaction ID.
Original Charge ID	When responsibility for all or part of a CHARGE transaction is transferred to another payer, a TRANSFERIN transaction is created to "charge" that payer. The original charge ID of this TRANSFERIN transaction appears in this field.
Claim ID	Claim ID associated with the transaction ID displayed in the Charge ID field.
Original Claim ID	When information on a claim changes significantly, the original claim information is copied to a "ghost" claim with a new claim ID. The ghost claim is linked to the current claim data by the original claim ID. When the Claim ID and Original Claim ID fields are different, the transactions used for RVU calculations are part of a ghosted claim and exist for historical auditing.
Transaction Type	Type of "charge" transaction: CHARGE or TRANSFERIN.
Transaction Reason	Reason specified for the given transaction.
Transfer Type	Payer on the associated claim that the CHARGE or TRANSFERIN transaction was billed to, for example, Primary, Secondary, or Patient.
Insurance Package	ID and name of the insurance package associated with the transaction.
Insurance Reporting Category	Insurance reporting category of the insurance package specified in the Insurance Package field.
Custom Insurance Group	Custom insurance group of the insurance package specified in the Insurance Package field.
Number of Charges	This field displays "1" unless the charge transaction was voided, in which case it displays "-1".
Units	Number of units designated for the given transaction.
Procedure Code	Procedure code of the transaction.
Procedure Code Description	Description of the procedure code specified in the Procedure Code field.
Procedure Code Group	Procedure code group of the procedure code specified in the Procedure Code field.
Other Modifiers	Procedure code modifiers added to the procedure code that are not considered "fee-affecting" (these modifiers do not change the charge amount).
Post Date	Post date of the transaction.
Month Posted	Month and year in which the transaction was posted.
Voided Date	If a transaction was voided, this field displays the date that the transaction was voided. However, if the transaction is part of a ghosted claim, the voided date is the date that the claim was ghosted.
Service Date	Date of service listed on the claim associated with the transaction.
Month of Service	Month and year of the service date listed on the claim associated with the transaction
Rendering Provider	Name of the rendering provider listed on the claim associated with the transaction.
Rendering Provider NPI	NPI of the rendering provider listed on the claim associated with the transaction.
Rendering Provider Specialty	Specialty of the rendering provider listed on the claim associated with the transaction.
Rendering Provider Group	Provider group of the rendering provider listed on the claim associated with the transaction.
Rendering Medical Group	Medical group of the rendering provider listed on the claim associated with the transaction.
Supervising Provider	Name of the supervising provider listed on the claim associated with the transaction.
Supervising Provider NPI	NPI of the supervising provider listed on the claim associated with the transaction.
Supervising Provider Specialty	Specialty of the supervising provider listed on the claim associated with the transaction.
Supervising Provider Group	Provider group of the supervising provider listed on the claim associated with the transaction.
Supervising Medical Group	Medical group of the supervising provider listed on the claim associated with the transaction.
Service Department	Service department listed on the claim associated with the transaction.
Service Department Group	Service department group of the service department listed on the claim associated with the transaction.
Place of Service	Place of service listed on the claim associated with the transaction.
Total Amount	Total amount of the original charge transaction.
Total Charge Amount	Sum of the current and late charge amounts.
Current Charge Amount	Sum of charges with a post date within the same month as the date of service.
Late Charge Amount	Sum of charges with a post date outside the month of service.
Total Transfer Amount	Amount of the transaction being transferred.
Total Expected Amount	Expected payment amount for the transaction.
Total Payment Amount	Sum of the payment amounts for the transaction.
Total Adjustment Amount	Sum of all adjustments for the transaction.
Contractual Adjustment Amount	Sum of all contractual adjustments for the transaction.
Free Care Adjustment Amount	Sum of all free care adjustments for the transaction.
Bad Debt Adjustment Amount	Sum of all bad debt adjustments for the transaction.
Collect Adjustment Amount	Sum of all collection adjustments for the transaction.
Pre-Collect Adjustment Amount	Sum of all pre-collection adjustments for the transaction.
Recovery Adjustment Amount	Sum of all recovery adjustments for the transaction.
Fee Adjustment Amount	Sum of all fee adjustments for the transaction.
Capitated Adjustment Amount	Sum of all capitation adjustments for the transaction.
Global Adjustment Amount	Sum of all global adjustments for the transaction.
Withhold Adjustment Amount	Sum of all withholding adjustments for the transaction.
Interest Adjustment Amount	Sum of all interest adjustments for the transaction.
Other Adjustment Amount	Sum of all other adjustments for the transaction.
Standard Work RVU	Work RVU amount based on CMS standard values with no custom adjustments or values considered.
Custom Work RVU	Work RVU amount based on the customized values configured on the Custom Report Mappings page (Custom RVU Procedure Values map and Custom RVU Modifier Adjustments map).