Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC 33
AMA's Current Procedural Terminology (CPT) codes). As part
of the CY 2007 PFS final rule with comment period
(71 FR 69624), we implemented a new methodology for
determining resource-based PE RVUs and are transitioning
this over a 4-year period.
In the CY 2005 PFS final rule with comment period
(69 FR 66236), we implemented the first 5-Year Review of
the MP RVUs (69 FR 66263).
5. Adjustments to RVUs are Budget Neutral
Section 1848(c)(2)(B)(ii)(II) of the Act provides that
adjustments in RVUs for a year may not cause total PFS
payments to differ by more than $20 million from what they
would have been if the adjustments were not made. In
accordance with section 1848(c)(2)(B)(ii)(II) of the Act,
if adjustments to RVUs cause expenditures to change by more
than $20 million, we make adjustments to ensure that
expenditures do not increase or decrease by more than
$20 million.
As explained in the CY 2007 PFS final rule with
comment period (71 FR 69624), due to the increase in work
RVUs resulting from the third 5-Year Review of physician
work RVUs, we applied a separate budget neutrality (BN)
adjustor to the work RVUs for services furnished during
2007 and 2008. This approach is consistent with the method