2006 proposed fee schedule - American Society of Clinical Oncology

BNF is applied to (multiplied by) the scaled direct and
indirect expenses for each code to set the PE RVU for the
upcoming year.
In Table 7, the sum of the scaled direct and indirect
expenses for hypothetical code 00001 ($481.70) is multiplied
by the BNF (0.02 in this example) to yield a PE RVU of
10.60.
TABLE 7--Calculate PE RVU
Total Scaled Direct and
Indirect Inputs
Budget Neutrality
Factor
41
Final PE
RVU
(A) (B) (C)
(a) Code 00001 $481.70 0.02 10.60
c. Other Methodological Issues: Nonphysician Work Pool
(NPWP)
As an interim measure, until we could further analyze
the effect of the top-down methodology on the Medicare
payment for services with no physician work (including the
technical components (TCs) of radiation oncology, radiology
and other diagnostic tests), we created a separate PE pool
for these services. However, any specialty society could
request that its services be removed from the nonphysician
work pool. We have removed some services from the
nonphysician work pool if we find that the requesting
specialty provides the service the majority of the time.