tci Part B Insider - 2003 Issue 29

Starred Procedures: Will RVUs Go up for Formerly Starred Procedures?

Consultant predicts new onslaught of audits, scrutiny for modifier -25 Doing away with the starred designation may eliminate some confusion, but it could also eliminate some reimbursement.   Unless the relative value units (RVUs) for these procedures go up to compensate for the new global period, providers will end up losing money, says Robert Burleigh with Brandywine Consulting in Malvern, Pa. "You've lost on one end and not gained on the other."   In the past, you may have billed for a procedure that reimbursed $45 and an evaluation and management visit that paid $40. Now, unless you...

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