Disclaimer: Early-access beta environment intended for demonstration and development purposes. Not yet intended for final billing submission or clinical decision-making during beta development.
Empowering Small Clinics to Recover Lost Revenue
At ClinicClaim Suite, our mission is to empower small healthcare practices with the tools and insights they need to get paid accurately, efficiently, and consistently.
We believe that high-quality revenue cycle support shouldn’t be limited to large health systems with massive budgets. Smaller practices deserve access to the same level of clarity, control, and confidence—without the complexity or cost of traditional consulting firms.
Through intelligent automation, denial prevention strategies, and actionable trend analysis, we simplify the revenue cycle so providers can focus on what matters most: delivering exceptional patient care.
Our goal is simple—reduce confusion, eliminate inefficiencies, and help every practice maximize the revenue they’ve rightfully earned.
This tool estimates Medicare Physician Fee Schedule (PFS) reimbursement using CY 2026 CMS RVU26A data. Enter any HCPCS or CPT code to instantly calculate facility and non-facility allowed amounts based on work, practice expense, and malpractice RVUs adjusted by locality-specific GPCIs and the CY 2026 conversion factor ($33.40 non-QP / $33.57 QP). Results include the full RVU breakdown, par and non-par allowed amounts, Medicare limiting charge, estimated post-coinsurance payment, and optional commercial rate comparison. Covers 300+ primary care, family medicine, and cardiology codes natively, with live CMS API fallback for additional codes. Estimates are for reference only and do not constitute a guarantee of payment.