Last stop for court challenge to resource-based PE-RVUs

Article Overview

This article covers a federal appeals court decision related to CMS’s transition to fully resource-based practice expense relative value units and the resulting effects on Medicare payment policy for surgical specialties. It is relevant to coding, reimbursement, and specialty society stakeholders who track Medicare payment methodology, legal challenges to payment formulas, and CMS policy changes. The article provides context on the lawsuit, the court’s review, and the broader implications for practice expense reimbursement.