88% of codes slated for cuts in work RVUs as part of 5-year review

Why This Topic Matters

The article highlights proposed payment changes that could affect reimbursement patterns across a wide range of physician services, including surgical procedures and office-based care. Understanding these shifts is important for organizations monitoring CMS policy changes and anticipating their operational impact.

Article Sections

1. Overall impact of the proposed work RVU changes

   Summarizes the scope of the proposed changes to work RVUs and the general direction of the projected impacts across affected services.

2. Effects on surgical global periods

   Describes how the proposed valuation changes interact with surgical services that have global periods and how those services are affected at a broad level.

3. Practice expense RVU changes in facility and office settings

   Reviews the anticipated changes to practice expense reimbursement in different site-of-service settings and the relative distribution of increases, decreases, and no-change outcomes.

4. Transition to the new practice expense methodology

   Covers the planned phase-in approach for CMS’s revised practice expense methodology and the general timeline for implementation.