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RBRVS: Resource-Based Relative Value Scale

The AMA advocates for fair and accurate valuation for all physician services within the Resource-Based Relative Value Scale (RBRVS). To ensure that physician services across all specialties are well-represented, the AMA established the AMA/Specialty Society Relative Value Scale Update Committee (RUC). The RUC makes annual recommendations regarding new and revised physician services to the Centers for Medicare & Medicaid Services (CMS). Click on one of the links below to learn more about how the AMA is helping doctors help patients through physician payment policy and systems.

RUC participants, including members, advisors, staff, and other designated specialty society representatives, may access detailed and up-to-date information about the RUC process online. RUC participants must contact AMA staff to access the site.

CPT/RUC Calendar
View the calendar for the CPT Editorial Panel process and the AMA-Specialty Society RVS Update process. Requests to attend the RUC meeting must be made at least two weeks prior to each meeting to ensure space availability.

RUC Recommendations, Minutes and Voting
RUC recommendations will be published after the annual release of the Medicare Physician Payment Schedule Proposed Rule. The RUC vote for each individual CPT code and the RUC minutes (rationale) will be published after the annual release of the Medicare Physician Payment Schedule Final Rule.

Medicare physician payment reform and regulatory relief
As the leading force in Washington for Medicare reform, the AMA will be relentless in the battle to replace the flawed Medicare physician payment formula.

The Medicare Physician Payment Schedule
See an overview of the Medicare Physician Payment Schedule and how it is developed.

CMS Presentation on CY2016 Medicare Physician Payment Schedule
Powerpoint slides from a presentation given by a CMS Official on November 18th, 2015 at the CPT and RBRVS 2015 Annual Symposium.

Physician Practice Information Survey
A joint effort by the AMA and 72 specialty societies and other health care professional organizations to collect current practice cost data.

Recommendations Related to Care Coordination
A joint workgroup of the AMA/Specialty Society RVS Update Committee (RUC) and the CPT Editorial Panel, the Chronic Care Coordination Workgroup (C3W) is providing strategic direction to CPT and RUC to address the adequacy of coding and valuation of care coordination services and management of chronic diseases.

RUC Medicare Medical Home Demonstration project recommendations
View the RUC's recommendations for the Medicare Medical Home Demonstration project.

Medicare RBRVS:  The Physicians' Guide
Take a closer look at the most essential publication regarding Medicare physician payment.

The RVS Update Committee (RUC)
The RUC is an expert panel of the AMA and specialty societies charged with developing relative value recommendations to Medicare.

Five-Year Reviews of the RBRVS

Contact information
Contact the AMA physician payment policy and systems staff.