Medicare Fee
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Your under-billed HCPCS codes, gap-priced per unit against the local-peer median across your full book. Documented opportunity, never a guarantee.

Medicare Fee Calculator

CMS PFS

The locality-adjusted Medicare allowed for any CPT — computed the CMS way (RVU × GPCI × conversion factor), office and facility. Then see what your local peers actually get commercially, as a percent of Medicare. No PHI.

Computing…

Medicare is the floor most commercial contracts index off. Score every code you bill against both Medicare and your local commercial peers on a discovery call to see where you have the most room. See your full HCPCS book ranked by opportunity, per unit against the local-peer median, not just your top code. Export DMEPOS-ready rate memos for payer renegotiations.

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