Medicare Fee Schedule: What’s the RUC Got to Do With It?
March 5, 2010
Laura A. Dummit
The American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC), which is comprised of 29 physicians, provides recommendations to the Centers for Medicare & Medicaid Services (CMS) on fees for new services and changes to the fees of selected services based on its review of service-specific data from physician specialty-sponsored surveys. Although CMS is responsible for Medicare’s fee schedule, the RUC is highly influential in determining what Medicare and the many private insurers that use the fee schedule pay for physician services. During this invitation-only discussion Barbara Levy, MD, chair of the RUC, described the RUC process, focusing on the data it receives from physician specialty societies on the resources used to provide specific physician services. Jonathan Blum, director of the Center for Medicare Management at CMS commented on CMS’ review of RUC recommendations and its process for ensuring the appropriateness of physician fees.
Barbara Levy, MD, Chair, American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC); and Jonathan Blum, Director, Center for Medicare Management, Centers for Medicare & Medicaid Services
See also "Relative Value Units (RVUs)" (The Basics, January 12, 2015) and "Medicare Physician Fees: The Data Behind the Numbers" (Issue Brief No. 838, July 22, 2010).