Congressional ban on judicial review of RVU formula disputed

Why This Topic Matters

The case could affect Medicare physician payments and the extent to which agencies must follow congressional instructions in developing payment formulas. It also has implications for how administrative disputes over reimbursement methodologies may be reviewed by courts.

Article Sections

1. Litigation over Medicare transition formula

   Overview of the dispute between specialty medical societies and the federal government concerning implementation of a Medicare payment transition approach.

2. Arguments on judicial review and statutory interpretation

   Discussion of the parties’ positions on whether the courts may review the agency action and how the relevant statute should be understood.

3. Rulemaking history and administrative impact

   Coverage of the legislative background, procedural considerations, and claimed administrative effects of changing the transition formula.