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Proxy wRVU for Oncology-Related Services in the Middle of Recent $34 Million Settlement

Proxy wRVUs need to be used with care. Many organizations utilize proxy wRVUs to compensate physicians for professional activities that are not recognized by the Medicare Physician Fee Schedule and do not have Work RVU values. In the case described below, the oncologists were credited with a proxy wRVU that, according to the plaintiff-relator, did not reflect the relative time and intensity associated with the service being provided. On May 18, 2017, the Department of Justice (“DOJ”) announced a $34 million settlement with two Springfield, Missouri healthcare providers: Mercy Hospital Springfield (“Mercy Hospital”) and Mercy Clinic Springfield Communities (“Mercy Clinic”). According to the D

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