Part B Insider (Multispecialty) Coding Alert

PE-RVU Changes Could Cut Major Procedures By 10 Percent

If the Centers for Medicare & Medicaid Services goes ahead with plans to change how it calculates practice expense RVUs (PE-RVUs), it could create winners and losers among physicians, the Medicare Payments Advisory Commission said Sept. 9.

The move to a new -bottom up- system would increase PE-RVUs by 5 percent for evaluation & management visits but decrease them the same amount for imaging services. Major procedures would see a shocking 10-percent PE-RVU drop, and -other procedures- would lose about 4 percent. Tests would see a 1.5-percent drop.

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