Medicare has established a national fee schedule that comes under the National Social Security Act. This fee schedule shall be followed by the physicians based on Relative Value Units (RVU), which come under the Resource Based Relative Value Scale (RBRVS) that has been followed by Medicare ever since 1992. It is not just the physicians who need to worry about RVU, all medical transcription companies need to familiarize themselves with RVU. Medicare insists that it is mandatory that RVUs are updated every 5 years. The task has been entrusted with the Relative Value Update Committee (RVUC) by the CMS. The Medicare Payment Advisory Commission (Med PAC) was established as an independent federal body by Congress in 1997. The commission was entrusted with the task of analyzing access, monitoring the quality of care and related issues affecting Medicare. According to the RBRVS reimbursement schedule, certain values are assigned to the procedures and costs, which will de...