Open AccessReassessment of Relative Value in Shoulder and Elbow Surgery: Do Payment and Relative Value Units Reflect Reality?
Author(s) -
Suresh K. Nayar,
Richard L. Skolasky,
Dawn M. LaPorte,
Ryan M. Zimmerman,
Aviram M. Giladi,
Umasuthan Srikumaran
Publication year - 2021
Publication title -
clinics in orthopedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.002
H-Index - 34
eISSN - 2005-4408
pISSN - 2005-291X
DOI - 10.4055/cios20052
Subject(s) - medicine , arthroplasty , shoulder surgery , medicaid , elbow , resource based relative value scale , physical therapy , relative value , payment , surgery , health care , finance , economics , economic growth
Many U.S. health care institutions have adopted compensation models based on work relative value units (wRVUs) to standardize payments and incentivize providers. A major determinant of payment and wRVU assignments is operative time. We sought to determine whether differences in estimated operative times between the Centers for Medicare & Medicaid Services (CMS) and the National Surgical Quality Improvement Program (NSQIP) contribute to payment and wRVU misvaluation for the most common shoulder/elbow procedures.