The Origins and Enduring Centrality of Medicare’s Physician Fee Schedule

Presenter: John D. Goodson, MD   jgoodson1@mgh.harvard.edu 

Learning Objectives

1. Explain the RBRVS, our monetary system, and how is has been managed over the last 25 years.
2. Understand SGIM’s role in the most recent valuations of the E/M codes.
3. Know how CMS (2008-16) developed a work around strategy, AWVs and TCM, CCM and prolonged care services.
4. Understand SGIM’s strategy for achieving income parity.

Suggested Readings

• Kumetz E and Goodson J. The Undervaluation of Evaluation and Management Professional Services Chest 2013 September 144:1-6
• Nakhasi A and Goodson J. The case for the redefinition and revaluation of the outpatient Evaluation and Management (E&M) service codes and the development of new documentation expectations SGIM White Paper May 2015.
• Goodson J. Unintended Consequences of Resource-Based Relative Value Scale ReimbursementJAMA 2007 November 298: 2308-2310.

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