The RUC's Re-Evaluation of Psychiatric Reimbursement Rates

The RVS Update Committee (RUC) is in the midst of re-evaluating psychiatric reimbursement rates.  This committee has made numerous recommendations to the Centers for Medicare & Medicaid Services that have significantly affected the Medicare provider payment schedule.  Most importantly, the committee has done so by giving providers a voice in the shaping of Medicare relative values.  This year the RUC, in conjunction with the Current Procedural Terminology (CPT) Editorial Panel, has created a process where specialty societies can develop relative value recommendations for new and revised codes.  This new survey will also take into consideration pre- and post-service time required to deliver patient care which will effect a more accurate re-evaluation of reimbursement rates.  (Prior to this, reimbursement codes only applied to face-to-face time with the patient.)

APNA has been asked to participate in the evaluation of a total of 15 of the 37 CPT codes—both the evaluation and management related codes as well as the therapy only codes for both adults and children.  Our role is to identify 100 PMHN to participate in the relative value survey of psychiatric nursing CPT codes.  Filling out this survey is a relatively intense process and will take approximately 1-2 hours to complete.  The participant will evaluate various vignettes for typicality by responding to a series of detailed questions.   

We put together a short questionnaire in order to determine the willingness of our members to take part in this survey.  To date over 400 surveys have been completed—a fantastic response!  The names of all who agreed to participate after filling out this questionnaire will be sent to the RUC and these participants will recieve the survey relatively soon.  The surveys will be analyzed over the summer and results presented to the RUC in October.

If you are interested in participating and have not yet filled out our questionnaire, please click on the link below:

Click here to take survey

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