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介入放射学操作补偿和相对价值单位的减少:与其他医师专业相比,2011 年至 2021 年的趋势。

Reductions in Reimbursement and Relative Value Units for Interventional Radiology Procedures: Trends from 2011 to 2021 Compared with Those for Other Physician Specialties.

机构信息

Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania.

Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University School of Medicine, Atlanta, Georgia; Department of Radiology and Imaging Sciences, Division of Pediatric Radiology, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia.

出版信息

J Vasc Interv Radiol. 2022 Aug;33(8):972-977. doi: 10.1016/j.jvir.2022.04.015. Epub 2022 Apr 26.

DOI:10.1016/j.jvir.2022.04.015
PMID:35487347
Abstract

PURPOSE

To compare recent trends in Medicare reimbursement and relative value units (RVUs) for interventional radiology (IR) procedures similar to those performed by non-IR specialties.

MATERIALS AND METHODS

Data from the Centers for Medicare and Medicaid Services Physician Fee Schedule for facility reimbursement and RVU component values for 23 commonly performed single Current Procedural Terminology IR procedures were compared with similar procedures or procedures for similar indications performed by non-IR specialties between 2011 and 2021.

RESULTS

The work RVU component decreased in 18 of 23 (78.3%) IR procedures compared with 6 of 23 (26.1%) similar procedures performed by non-IR specialties. The largest change in single RVU component was a 19.2% reduction in practice expense RVU for IR compared with a 16.5% reduction for similar procedures performed by non-IR specialties.

CONCLUSIONS

As a specialty, IR experienced a disproportionately greater reduction in reimbursement and RVU valuation for a range of comparable procedures performed by non-IR specialties.

摘要

目的

比较类似于介入放射学(IR)专业开展的操作的 Medicare 报销和相对价值单位(RVU)的最新趋势,以及非 IR 专业开展的类似操作。

材料和方法

对 2011 年至 2021 年间 Medicare 和医疗补助服务中心医师费用表中 23 项常见的单一现行操作术语(CPT)IR 操作的设施报销和 RVU 组成值数据,与非 IR 专业开展的类似操作或类似适应证的操作进行了比较。

结果

与非 IR 专业开展的 23 项类似操作中的 6 项(26.1%)相比,18 项(78.3%)IR 操作的工作 RVU 组成部分减少。单一 RVU 组成部分的最大变化是,与非 IR 专业开展的类似操作的 16.5%相比,IR 的实践费用 RVU 减少了 19.2%。

结论

作为一个专业,IR 在与非 IR 专业开展的一系列可比操作的报销和 RVU 估值方面经历了不成比例的更大降幅。

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