Effect on specialties
The current trend in the CMS-driven, budget-neutral valuation system is a push to support primary care, forcing cuts to other specialties.
“Ophthalmology has done well because our work was fairly valued and we have great leadership that understands and works within the process,” Dr. Edelstein said.
Radiology and cardiology, in contrast, were hit harder because their code values were too high and that, in Dr. Edelstein’s opinion, they unwisely decided to fight the process.
A cardiology lawsuit against CMS “did not end well,” he said, which seems to imply that “playing nice” is a sound strategy in this situation.
“Remember, a RUC win is sometimes a smaller loss than initially expected,” he concluded.