Payers

Physician Charge Profile

The Reden & Anders Physician Charge Profile empowers you with an efficient method to evaluate physician fee schedules. The evaluation can be performed against any fee schedule, including the Medicare benchmark fee schedule.

Transform data into information to make business-critical decisions.

Flexible modeling functionality

The Reden & Anders Physician Charge Profile allows you to:
∙ Quickly calculate and group frequencies, relative value units (RVUs), and fees into logical procedure code ranges for easy fee schedule comparison and review;
∙ compare multiple fee schedules to the Medicare and MDR percentile benchmarks;
∙ develop weighted average fees and RVUs using Reden & Anders’ standard distribution of services;
∙ benchmark using geographically adjustable Resource-Based Relative Value Scale (RBRVS) RVUs and the national average Medicare physician fee schedule;
∙ create geographically adjusted RBRVS RVU-based fee schedules and benchmarks, with the option to include the area-specific clinical lab and DEMPOS fee schedules;
∙ quickly and easily import external frequency, RVU and fee schedules for use in analyses; and
∙ easily report results to a screen, printer, or spreadsheet.

A powerful, yet easy-to-use, modeling tool

With the Reden & Anders Physician Charge Profile you can evaluate fee schedules on a similar basis; estimate fee schedules as a percentage of the Medicare physician fee schedule; and develop conversion factors to input into medical expense models.

Reden & Anders Specialty Physician Billed Charge Profile benefits:

∙ Self-insured employers
∙ Health insurance payers
∙ Integrated delivery systems
∙ Provider networks
∙ Specialty physician group practices