History of the RBRVS
The Harvard National RBRVS Study is initiated.
Harvard submits Phase I of the RBRVS Final Report to the Health Care Financing Administration (HCFA).
President George Bush signs the Omnibus Budget Reconciliation Act of 1989, enacting a physician payment schedule based on an RBRVS.
Initial Meeting of the AMA/Specialty Society RVS Update Committee (RUC) takes place: RUC Charter documents are created; RUC is approved for the formation of the Research Subcommittee, RUC Advisory Committee, and Health Care Professionals Advisory Committee.
The Medicare RBRVS is implemented.
The RUC considers the first relative value recommendation from a specialty society. The American College of Obstetricians and Gynecologists presents a work RVU recommendation for CPT code 58345 Transcervical introduction of fallopian tube catheter. HCFA accepts this first RUC recommendation.
The RUC submits its first set of recommendations to HCFA for 253 new and revised CPT 1993 codes.
The RUC submits its 1,000th work relative value recommendation for a new or revised CPT code. The RUC also submitted more than 300 recommendations to HCFA for carrier-priced or non-covered services, including preventive medicine visits.
Implementation of the first Five-Year Review of the RBRVS. The RUC had submitted recommendations for more than 1,000 CPT codes, including increases to the E/M services. HCFA accepts 95% of the RUC’s recommendations, which include RVU changes to 400 codes.
The RUC begins review of direct practice expense inputs. The Practice Expense Advisory Committee (PEAC) is created.
Resource-Based Professional Liability Insurance (PLI) relative values are implemented.
The second Five-Year Review of the RBRVS is implemented. The RUC submits recommendations for 870 CPT codes, including changes to nearly 500 work RVUs in October 2000. Implementation of Resource-Based Practice Expense Relative Values is finalized.
The RUC submits recommendations from the PEAC on direct practice expense inputs. The PEAC has reviewed more than 3,500 codes, including all of the E/M codes.
The PEAC has its final meeting. The PEAC has reviewed more than 6,500 codes.
The third Five-Year Review of the RBRVS is implemented. The RUC submits recommendations for 751 CPT codes, including significant improvements to Evaluation and Management (E&M) services. CMS accepts 100 percent of the RUC's recommendations regarding E&M and 97 percent of the RUC's recommendations overall.
CMS implements the first RUC recommendations resulting from efforts by the RUC's Five-Year Review Identification Workgroup to identify misvalued physician services. The CMS decision to implement all of the RUC recommendations results in a small increase to the 2009 Medicare Conversion Factor.