tci Part B Insider - 2006 Issue 7

REIMBURSEMENT: RVUs In For Big Changes--Will You Win Or Lose?

Now's the time to speak up about drastic PE-RVU changesSome CPT codes could see double-digit cuts next year, if the Centers for Medicare & Medicaid Services has its way.CMS wants to change the way it calculates practice-expense relative value units (PE-RVUs), on a "bottom up" instead of "top down" basis. At a Feb. 15 town hall meeting, CMS officials unveiled four different methods for calculating PE-RVUs--and a list of winners and losers. Audiologists would lose between 15 and 22 percent of their total allowed Medicare charges. Hematologists/oncologists, cardiologists and nuclear medicine physicians also stand to lose out. Meanwhile...

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