The Physician Fee schedule has had numerous and confusing updates this year, so I thought a quick note to customers about how we can help would be in order.  Key issues include:

• The January 2010 RVU file had multiple updates and corrections.
• The April 2010 RVU file was not published by CMS.
• The Affordable Care Act created RETROACTIVE payment changes to the some RVUs and the conversion factor back to 01/01/2010.
• The payment rates for July 2010 are still in flux.