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    CMS targets ‘misvalued’ urology codes in rule

    Stark law modifications also included in proposed rule

    Bob GattyWashingtonThe first annual Medicare physician fee schedule rule in the post-sustainable growth rate era has been proposed by the Centers for Medicare & Medicaid Services (CMS), and instead of being locked in a battle to avoid draconian pay cuts, physicians can expect an across-the-board .5% increase in payments.  

    Read - ACA, MACRA: What they mean for you, patients

    The rule, published July 8, will be finalized after comments from providers and other interested parties have been considered by CMS. It includes several provisions of specific interest to urologists, including attention to certain services that are considered misvalued by the agency and some modifications to Stark law regulations.

    Overall, the impact on urologists’ payment rates does not appear to be particularly significant. In fact, notes the AUA in an online discussion of the fee schedule rule, “For 2016, CMS estimates the overall impact on payment rates for urology services based on physician work, practice expense, and malpractice relative value units (RVU) changes to be zero.”

    However, the AUA cautioned, the actual impact on individual urology practices will differ based on annual changes to RVUs, patient volume, and mix of services.

    NEXT: Urology services potentially misvalued

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    Bob Gatty
    Bob Gatty, a former congressional aide, covers news from Washington for Urology Times.


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