Business Data Model Data Model

Entity

Entity Relative Value Unit

Description

The non-monetary factors which rank the resources used to provide each physician or hospital service. They are used by CMS to determine reimbursement rates for procedures.
For example:
Work RVU
Malpractice RVU
Practice Expense RVU

Attributes
Conversion Factor Rt
Fully Implemented Facility Ind
Fully Implemented Facility Practice Expense RVU Rt
Fully Implemented Non-Facility Ind
Fully Implemented Non-Facility Practice Expense RVU Rt
General Relative Value Unit Qty
General RVU Unit Of Measure
Malpractice RVU Rt
Physician Technical Code
Relative Value Unit End Date
Relative Value Unit Start Date
RVU Status
RVU Type
Total Fully Implemented Facility RVU Rt
Total Fully Implemented Non-Facility RVU Rt
Total Transitioned Facility RVU Rt
Total Transitioned Non-Facility RVU Rt
Transitioned Facility Ind
Transitioned Facility Practice Expense RVU Rt
Transitioned Non-Facility Ind
Transitioned Non-Facility Practice Expense RVU Rt
Work RVU Rt

Relationship
Relative Value Unit_Procedure Code_FK
Relative Value Unit_Charge Master_FK
Relative Value Unit_Order Master_FK

Dependencies
NONE

Reverse Dependencies

Attribute Details

Conversion Factor Rt

Description	This is the multiplier that transforms relative values into payment amounts. This conversion factor reflects the MEI update adjustment. For 2002 and beyond, there is a single conversion factor for all services.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Fully Implemented Facility Ind

Description	Indicates whether or not this procedure is rarely or never performed in the facility setting.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Fully Implemented Facility Practice Expense RVU Rt

Description	Relative Value Unit (RVU) for the fully implemented resource-based practice expense for the facility setting, as published in the Federal Register Fee Schedule for Physicians Services.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Fully Implemented Non-Facility Ind

Description	Indicates whether or not this procedure is rarely or never performed in the non-facility setting.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Fully Implemented Non-Facility Practice Expense RVU Rt

Description	Relative Value Unit (RVU) for the fully-implemented resource-based practice expense for the non-facility setting, as published in the Federal Register Fee Schedule for Physicians Services
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

General Relative Value Unit Qty

Description	RVU factor defined locally for use when relative factors for the complexity of an activity are needed.
Data Type	Standards - Data Domains.ddm/Data Domains/Quantity Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

General RVU Unit Of Measure

Description	The unit of measure associated with the General Relative Value Unit Qty.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Malpractice RVU Rt

Description	RVU for the malpractice expense for the service as published in the Federal Register Fee Schedule for Physicians' Services.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Physician Technical Code

Description	PC / TC Codes determine how Physician and Technical component factors of an RVU are determined.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Relative Value Unit End Date

Description	The date upon which the relative value unit factors are no longer available for use.
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Relative Value Unit Start Date

Description	The date upon which the relative value unit factors are available for use.
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

RVU Status

Description	Indicates whether the code is in the fee schedule and whether it is separately payable if the service is covered. A = Active Code. B = Bundled Code. C = Carriers price the code. D = Deleted Codes. E = Excluded from Physician Fee Schedule by regulation. F = Deleted/Discontinued Codes. G = Not valid for Medicare purposes. H = Deleted Modifier. I = Not valid for Medicare purposes. J = Anesthesia Services. M = Measurement codes. N = Non-covered Services. P = Bundled/Excluded Codes. R = Restricted Coverage. T = Injections. X = Statutory Exclusion.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

RVU Type

Description	Indicates the kind of Relative Value Unit (RVU) set this record represents. Default would be 'CMS'.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Total Fully Implemented Facility RVU Rt

Description	Sum of work, fully implemented facility practice expense, and malpractice RVUs.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Total Fully Implemented Non-Facility RVU Rt

Description	Sum of work, fully implemented non-facility practice expense, and malpractice expense RVUs.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Total Transitioned Facility RVU Rt

Description	Sum of work, transitioned facility practice expense, and malpractice RVUs.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Total Transitioned Non-Facility RVU Rt

Description	Sum of work, transitioned non-facility practice expense, and malpractice expense RVUs
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Transitioned Facility Ind

Description	Indicates whether or not this procedure is rarely or never performed in the facility setting or is not paid under the Physician Fee Schedule in the facility setting.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Transitioned Facility Practice Expense RVU Rt

Description	Relative Value Unit (RVU) for the transitioned resource-based practice expense for the facility setting, as published in the Federal Register Fee Schedule for Physicians Services.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Transitioned Non-Facility Ind

Description	Indicates whether or not this procedure is rarely or never performed in the non-facility setting.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Transitioned Non-Facility Practice Expense RVU Rt

Description	Relative Value Unit (RVU) for the transitioned resource-based practice expense for the non-facility setting, as published in the Federal Register Fee Schedule for Physicians Services
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Work RVU Rt

Description	Relative Value Unit (RVU) for the physician work in the service as published in the Federal Register Fee Schedule for Physicians Services.
Data Type	Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Relationship Details

Relative Value Unit_Procedure Code_FK

Is Identifying Relationship	false
Child Table	Relative Value Unit
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Procedure Code
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Relative Value Unit_Charge Master_FK

Is Identifying Relationship	false
Child Table	Relative Value Unit
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Charge Master
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Relative Value Unit_Order Master_FK

Is Identifying Relationship	false
Child Table	Relative Value Unit
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Order Master
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Overview

Top

Package

Entity

Business Data Model Data Model