decisionhealth Newsletters, Part B News - 2015 Issue 12 (December)
Public to play larger role in feedback for new, revised code values
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Article Overview
This article covers a policy and procedural update tied to the Medicare physician fee schedule and the process CMS uses to develop proposed values for new and revised codes. It is relevant to coding, reimbursement, and physician payment professionals who track how CMS, the AMA Relative Value Scale Update Committee, and public comments interact in the annual rulemaking cycle. The discussion focuses on the timing of value proposals, the comment process, and the general categories of inputs CMS considers when refining work and practice expense relative value units.
Why This Topic Matters
The article matters because it describes a change in how code values are reviewed and refined before they take effect, which can affect stakeholders who monitor reimbursement policy and code valuation processes. It also highlights the broader role of public comment in Medicare payment rulemaking.
Article Sections
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Physician payments
An overview of the fee schedule context and the timing of proposed and final values for new and revised codes.
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How this changes the process
A discussion of the revised public comment process and the shift in how CMS develops and presents proposed values for review.
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Plans for work RVUs
A summary of the types of information CMS considers when evaluating work RVUs and related valuation inputs.
What You Will Learn
- How CMS is changing the review process for proposed values in the Medicare physician fee schedule
- What role public comments play in the valuation timeline for new and revised codes
- What broad types of information may be considered when CMS refines work RVUs and practice expense inputs
- How the fee schedule process relates to coordination between CMS and the AMA Relative Value Scale Update Committee
Who Should Read This
- Medical coders
- Coding managers
- Physician billing staff
- Revenue cycle professionals
- Health policy analysts
- Practice administrators
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