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CMS-1403-FC
Step 9: Calculate the current aggregate pool of
indirect PE RVUs by multiplying the current aggregate pool
of PE RVUs by the average indirect PE percentage from the
physician specialty survey data. This is similar to the
Step 2 calculation for the direct PE RVUs.
Step 10: Calculate an aggregate pool of indirect PE
RVUs for all PFS services by adding the product of the
indirect PE allocators for a service from Step 8 and the
utilization data for that service. This is similar to the
Step 3 calculation for the direct PE RVUs.
Step 11: Using the results of Step 9 and Step 10,
calculate an indirect PE adjustment so that the aggregate
indirect allocation does not exceed the available aggregate
indirect PE RVUs and apply it to indirect allocators
calculated in Step 8. This is similar to the Step 4
calculation for the direct PE RVUs.
Calculate the Indirect Practice Cost Index.
Step 12: Using the results of Step 11, calculate
aggregate pools of specialty-specific adjusted indirect PE
allocators for all PFS services for a specialty by adding
the product of the adjusted indirect PE allocator for each
service and the utilization data for that service.
Step 13: Using the specialty-specific indirect PE/HR
data, calculate specialty-specific aggregate pools of
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