Department of Labor
Sample Scenarios
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N = Bundled (Non-ASC providers) C = Covered D = Not Payable by DOL R = Suspended for Review S = Suspended for Review
Definition
Source (OWCP)
  • Wrvu
    Work relative value units
  • Wgpci
    Work geographic practice cost index value
  • PErvu
    Practice expense relative value units
  • PEgpci
    Practice expense geographic practice cost index value
  • MPrvu
    Mal-practice relative value units
  • MPgpci
    Mal-practice geographic practice cost index value
  • CF
    Conversion Factor
  • MAA
    Maximum Allowable Amount
    • Calculator
    The Formula is:
    [(Wrvu × Wgpci) + (PErvu × PEgpci) + (MPrvu × MPgpci)] × CF = MAA
    Effective Date Work Practice Expense Mal-practice expense
    X X X
    		= = =
    Sub Total + +
    Sub Total
    		X
    Conversion Factor
    X
    SG Modifier (Multiplier)
    =
    Reimbursement per Unit
    HCPCS
    How to Bill for rn Health Care Services (OWCP) How to Bill for rn Health Care Services (DOWC)