2006 proposed fee schedule - American Society of Clinical Oncology

Therefore, we propose assigning these specialties a risk
100
factor of 1.00. We invite comment from representatives of
the affected specialties and others regarding the
appropriateness of this proposal, as well as other specialty
crosswalks and suggestions for reliable sources of actual
malpractice premium data for nonphysician groups.
The RUC PLI Workgroup also felt that a number of
professions that were assigned to the average for all
physicians risk factor should be removed from the
calculation of malpractice RVUs altogether. The PLI
Workgroup believes that it would be more appropriate to
exclude data from the following professions: certified
clinical nurse specialist (CNS), clinical laboratory,
multispecialty clinic or group practice, NP, physician
assistant (PA), and physiological laboratory (independent).
In calculating the malpractice RVUs applicable for 2005, 34
Medicare specialties were excluded from the calculation
because they could not be otherwise assigned or crosswalked.
The RUC recommends the above specialties and professions be
similarly excluded. We agree and propose to establish
malpractice RVUs based upon the mix of specialties exclusive
of the above specialties and professions.
The PLI Workgroup also made the following
recommendations that we are not accepting: certified
registered nurse anesthetists (CRNAs) should be crosswalked