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Could You Describe the RUCkus, Sir? How Budget Neutrality, wRVUs, and the RUC Shape Your Pay - On Demand 2026
Blueprints of pay rarely come from the bedside—they’re drafted by wRVUs, budget neutrality, and the AMA’s RUC. In this session, you’ll discuss how CMS rulemaking and the RUC determine what services represent in relative value, analyze wRVU mechanics, and critique budget-neutral shifts that shape hospitalist income. You’ll apply insider insights to design fairer workflows and evaluate decisions that directly impact your compensation.
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Availability
On-Demand
Expires on Apr 05, 2029
Credit Offered
0.75 CME Credit
0.75 ABIM-MOC Point
0.75 Participation Credit
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Learning Objectives
After completing this activity, learners should be able to:
  1. Understand a key policy limiting clinician compensation: Budget Neutrality and the Conversion Factor.
  2. Understand what an RVU is, and how it is calculated.
  3. Understand the current role and functions of the AMA Relative Value Scale Update Committee (the RUC).
  4. Understand the impact of CMS rulemaking, specifically the Medicare Physician Fee Schedule, as well as Congress' impact.
  5. Synthesize the prior objectives along with hospital subsidies to understand how these factors can influence the hospitalist labor market and your pay.
Faculty
  • Rob Zipper, MD, MMM, SFHM
  • Dan Duzan, SFHM, MD, CPC
Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.
CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75  MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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