That cut is the result of the budget neutrality adjustment that the CMS is required by law to make whenever changes in RVUs cause an increase or decrease in overall physician fee schedule outlays of more than $20 million. The proposed work RVU changes are estimated to increase expenditures by about $4 billion, according to the CMS.
The proposal was published in the June 29 issue of the Federal Register. The CMS is accepting comments until Aug. 21.
The proposed rule is available online at www.cms.hhs.gov/PhysicianFeeSched