frequency-adjusted conversion factor (FACF)

Dollar amount for one base unit that is obtained when converting a provider’s fee schedule that is not based on the resource-based relative value scale (RBRVS) to one that is based on it, using current fees and the number of times the service is provided (frequency). By using a FACF, it is possible to develop an RBRVS fee schedule that produces the same amount of income that was generated under the non-RBRVS fee schedule.

Front-end edits

Electronic check of transmitted insurance claims to screen the incoming data or claims before they enter a system for errors, conflicting code entries, and a match of diagnosis to medical service(s) provided. This electronic examination has the capability to accept or reject each transaction or claim based on whether or not it complies with the checks. Also called claim edits and edit check .