I've had a request to post some information about the 2008 RVU impact, but I've decided to wait a day or two for the dust to settle about the latest news. Hope you don't mind. In the meantime, let's return to a simpler time...like this year...when the only curve-ball is the Budget Neutrality adjustment. Igor was looking at the soon-to-be-ready benchmarks for 2007 and realized that the average price for PCC customers dropped from 150% of Medicare to 147% of Medicare. Alarm bells! We both agreed that the largest culprit would be the increase in RVU values to E&M codes that outpaced our customers' corresponding price increases. Let's check!
|CPT Code||2006 AVG RVU||2007 AVG RVU||2006 AVG FACF||2007 AVG FACF||RVU Diff||$$ Diff|
Because I never have enough time to make tables properly, here's a quick explanation. In 2006, the average RVU value for our customers for a 99214 was 2.3 RVUs. In 2007 it was 2.61 (a 13% increase, as noted in column 6). In 2006, the average PCC customer charged 141% of Medicare for a 99214, but that dropped to 129% in 2007 (a 9% drop, as indicated in column 7). In absolute terms, you can see that the customer price for a 99214 went up 4% (the difference between columns 6 and 7), but that wasn't enough to keep pace with the RVU changes. Interesting. At least to us RVU nerds.