Posts

2017 GPCI Comparison for RBRVS

Every year, I do a quick analysis of the GPCI adjustments released by CMS, this year is no different. The purpose here is to see how large the adjustments are for each locality and compare the results to last year in order to see what the Feds think is happening in your town (or elsewhere). …

2014 GPCI Analysis

It what has become a (nearly) annual tradition – check out 2008, 2009, 2011, 2012 –  it’s time to see what the new GPCI adjustments have in store for us this year.  What’s a GPCI (pronounced “Gypsie”), you ask?  It’s the geographical adjustment made to each and every RVU based on where you practice.  You …

2012 RBRVS GPCI Comparison Guide

With the announcement that the AAP has updated its RBRVS guide for 2012, I guess I have to get off my duff and work on the 2012 RVUs. Part 1: My annual  GPCI comparison.  AFAIK, this is still the only place where anyone actually breaks down the GPCI changes from year to year.  While some …

2011 GPCI Analysis

[Note: I have updated this data to reflect the 1.000 min Work GPCI for all locations.] Among the reasons I don’t like being on the road, I find myself falling hopelessly behind on my social media obligations. Over the past few years, I’ve taken the time to look at the GPCI changes with each new …

Where GPCIs Come From!

Yesterday, I asked if anyone knows how the awkward RBRVS GPCI system is developed.  Siouxsie, of course, had the answer.  In fact, more than answer.  Those of you who are dinged by the GPCI breakdown should head Reed Tinsley’s quick review of it and then check out CMS’s PDF…and get in touch with CMS! Remember, …

2009 RBRVS GPCI Analysis

Wow, some shockers.  Anyone here live in Alaska? Just like last year, I’ve gone through the entire GPCI catalog and have calculated the impact of the geographical adjustment changes for RBRVS in 2009.  While folks focus 99% of the attention on the impact of individual codes or the new annual multiplier, not enough attention is …

RVU Update #7, Good

All the RVU drama makes it hard for me to get to other things, but here is the latest from my generous and favorite inside source (instead of using an inappropriate 70s adult film nickname, we’ll use “Siouxsie”): 1) The new CF for 1/1/08 through 6/30/08 will be $38.0870 [= 0.5% increase from the current …

RVU 2008 Update

First, I have to be clear: my knowledge of the arcane RBRVS system, the RUC committees, CMS, etc., is all driven by my work for pediatricians. Thus, I have a very skewed view of how it works. Almost all of the changes to the CMS budget affect my clients indirectly and I have very little …