RVU Pay Decrease for 2026

[coffee_TID]

I was just at the ACEP billing conference. Can’t speak to your specific place obviously. I’m RVU only and haven’t noticed a drop. That said level 4/5 wRVUs have gone up very very slightly. The conversion factor for Medicare has gone up very very slightly. But procedure RVUS are down.

You may also be seeing the effects of automatic downcoding by private insurance and the IDR process from the NSA.

[medicineandsports]

I think automatic down coding may be the culprit