DecisionHealth, DecisionHealth - 2021 Issue 9 (September)

Rules & regulations: Check the math on proposed values for your top codes

Review CMS’ proposed changes to the relative value units (RVU) for your top E/M and procedure codes performed in the office. APCPS analyzed the proposed physician fee schedule’s revenue impact on the top 10 codes reported by pain management and interventional pain management specialists and found that adjustments to non-facility practice expense (NFPE) RVUs often mitigated or magnified the effects of the proposed 4% cut to the conversion factor. Look at the two extremes (see chart below):

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