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American Association of Clinical Urologists Join Stakeholder Letter Calling for Reform the Medicare Physician Fee Schedule and Establish a New Site-of-Service for Office-Based Interventional Care

October 9, 2024

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Our Vision

The Office-Based Facility Association's (OBFA) vision is for fundamental reform of the Physician Fee Schedule that provides payment stability for office-based interventionalists.​

FAST FACTS

Physician Fee Schedule (PFS) Office-Based Interventionalists & Consolidation
Physician Fee Schedule Reimbursement Updates

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Protecting Patient Access to Office-Based Interventional Care
Now – more than ever – patients need access to office-based interventional care.
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The Problem

 

The 2025 Medicare Physician Fee Schedule (PFS) Final Rule published on July 10, 2024, would impose yet another round of significant cuts to office-based interventionalists. Key drivers of these cuts within the 2025 PFS Proposed Rule include: 

 

  • Conversion Factor Cut.  A carry-over 2.8% cut to the conversion factor from the 2021 PFS E/M policy (which has been phased by Congress since the policy was implemented).  When finally phased-in, the 2025 conversion factor is projected to be $32.3433, a cut of more than 10% from the $36.09 conversion factor in 2020.
     

  • Clinical Labor Cuts.  The fourth year of clinical labor cuts to office-based interventional relative value units (RVUs) stemming from the phase-in through 2025 of the 2022 PFS clinical labor policy that cuts some interventional codes by another 4% in 2025.


PFS physician payments equal conversion factor * RVUs.  As a result, certain office-based interventional services will again be cut by another 6 - 7% in 2024 alone.  These year-over-year cuts are being implemented without regard to patient outcomes, actual PFS provider resource needs, or any other rationale policy. 

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