The Centers for Medicare & Medicaid Services (CMS) has posted the 2011 Physician Fee Schedule Rule, finalizing calendar year 2010 interim relative value units (RVUs) and issuing interim RVUs for new and revised procedure codes for 2011. The rule also addresses, implements and discusses certain provisions of the Affordable Care Act and the Medicare Improvements for Patients and Providers Act of 2008.
The Medicare physician fee schedule indicates the total reduction between November 2010 and January 2011 under the Sustainable Growth Rate system will be 24.9 percent. These reductions can only be averted by an act of Congress, which is exactly what the ISMA and AMA were seeking with “White Coat Wednesday.” The effort urged physicians nationwide to contact their congressional representatives Nov. 17 seeking action to halt the rate cut.
CMS noted: “While Congress has provided temporary relief from these reductions every year since 2003, a long-term solution is critical. We are committed to permanently reforming the Medicare payment formula.”
Payment under the fee schedule will be calculated as:
Payment = (RVU work x GPCI work) + (RVU PE x GPCI PE) + (RVU malpractice x GPCI malpractice) x CF
Find the fee schedule here. For the conversion factor, see page 380.
Details are available for submitting your comments; the comment deadline is Jan. 3, 2011.