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hello this is dr eric bricker and thank you for watching a healthcare z today weamp;#39;re going to be discussing relative value units or what are commonly referred to as rvus so most people in employee benefits and even in healthcare have not even heard an rvu before but these are super important and frankly weamp;#39;re going to go down a little bit of a rabbit hole so hold on to your hats so rvus as point number one says here are is actually the way that physician works gets measured in terms of the amount of work like how much work is an office visit that is 15 minutes versus an office visit that is 45 minutes versus an upper endoscopy versus a gallbladder surgery versus an emergency room visit all of these different physician services have to be measured in terms of the amount of work and that is actually done through the system of rvus and the system was actually created back in the early 1990s and it is used by medicare and so almost by default itamp;#39;s then used by commer