Jim Blankenship MD MHCM MSCAI MACC Chair Cardiology Geisinger Health System Past President SCAI ACC Representative to the AMA RVU Update Committee Disclosures None relevant to this topic Agenda ID: 1034539
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1. How New Procedures are Assigned RVUsJim Blankenship MD MHCM, MSCAI, MACCChair, Cardiology, Geisinger Health SystemPast President SCAIACC Representative to the AMA RVU Update Committee
2. Disclosures:None relevant to this topic
3. AgendaWhy care?How it works3 take home points
4. Why care?
5. Why care?Cardiologists’ income is RVU-based
6. Why care?Cardiologists’ income is RVU-basedRVUs are pliable. Procedures are re-valued--- In 3 years for new procedural codes--- If a new procedure is added to the code family--- If volumes increase too fast--- If CPT codes are changed
7. Why care?Cardiologists’ income is RVU-basedRVUs are pliabile. Procedures are re-valued--- In 3 years for new procedural codes--- If a new procedure is added to the code family--- If volumes increase too fast--- If CPT codes are changed Practice expense reimbursements are RVU-based
8. Why care?Cardiologists’ income is RVU-basedRVUs are pliabile. Procedures are re-valued--- In 3 years for new procedural codes--- If a new procedure is added to the code family--- If volumes increase too fast--- If CPT codes are changed Practice expense reimbursements are RVU-basedPrivate payers usually base reimbursement on CMS-approved RVUs
9. How the RUC process works - BackgroundJanuary 1, 1992 -- Resource Based Relative Value System (RBRVS) was implemented by Medicare, with Relative Value Units (RVUs) for every physician serviceToday -- used to set payments for Medicare and > most private payers
10. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT Code
11. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT CodeSocieties Survey Members
12. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT CodeSocieties Survey MembersSocieties Compile ResultsDawn Hopkins GrayWayne PowellEd Toggart MD FSCAILloyd Klein MD FSCAI
13. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT CodeSocieties Survey MembersSocieties Compile Results
14. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT CodeSocieties Survey MembersSocieties Compile Results, Present at RUCRUC Values the Code
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17. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT CodeSocieties Survey MembersRUC Values the CodeSocieties Compile Results, Present at RUCRUC sends Recommendation to CMS
18. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT CodeSocieties Survey MembersRUC Values the CodeSocieties Compile Results, Present at RUCRUC sends Recommendation to CMSCMS Evaluates RUC recommendation
19. The RUC processAMA Current Procedural Terminology (CPT) Panel Develops a CPT CodeSocieties Survey MembersRUC Values the CodeRUC sends Recommendation to CMSCMS Evaluates RUC recommendationCMS publishes RVU value in the Final Rule each NovemberSocieties Compile Results, Present at RUC
20. 3 Take-Home Points.1. No one thinks they get what they deserve
21. 3 Take-Home Points.1. No one thinks they get what they deserve.2. No one has figured out a better way to value services
22. .1. No one thinks they get what they deserve.2. No one has figured out a better way to value services.3. If you ever get a request to complete a surveyPLEASE DO IT!!3 Take-Home Points
23. Thanks for Watching