New RVU values

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nexus73

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Does anyone know the status of the proposed medicare changes for RVU values. They were planning to "simplify" the RVU values and documentation requirements and give the same value to each code regardless of patient complexity. Something like all followups would be worth 1.22 RVUs, whether it's a 99213, 99214, or 99215. There were several articles and facebook posts a couple months ago, but I haven't seen any updates.
 
Bump. Anyone have thoughts about getting paid the same for each patient regardless of complexity or time spent?
 
the APA claims most people doing regular churning psychiatry will make the same or more with this because the onus for documentation will be substantially less. those in subspecialties (e.g. geriatrics, addictions) where visits are longer will lose out. the main concern would be people shorterning there visits to the 10min med check to cash in on the flat rate. if you are mostly billing level 2 and 3 then you will do well out of this. if you are mostly billing level 4 and 5 you will lose out. for my specialty it would be very damaging since i spend 1-2 hours or more per patient
 
the APA claims most people doing regular churning psychiatry will make the same or more with this because the onus for documentation will be substantially less. those in subspecialties (e.g. geriatrics, addictions) where visits are longer will lose out. the main concern would be people shorterning there visits to the 10min med check to cash in on the flat rate. if you are mostly billing level 2 and 3 then you will do well out of this. if you are mostly billing level 4 and 5 you will lose out. for my specialty it would be very damaging since i spend 1-2 hours or more per patient

The clinics in our system that I really want to work for are deeply unhappy because it is very easy for clozapine patients or first episode psychosis to justify 4s and 5s and this is going to hit them hard.
 
This is terrible for me in imo the field in general. How likely is this to happen?
 
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