BREAKING: PM&R Earns a Permanent Seat on the RUC

Members & Publications


January 16, 2021

AAPM&R is thrilled to announce that today, for the first time, PM&R earned a permanent seat on the American Medical Association (AMA) Relative Value Scale Update Committee (RUC). This decision was confirmed by a two-thirds majority vote at the RUC meeting on January 16. We owe this huge victory to the outstanding efforts of the AAPM&R RUC team. Matthew Grierson, MD, FAAPMR, laid the groundwork by previously winning an election to hold a position on the RUC’s rotating seat and just completed a two-year term along with his alternate, Clarice Sinn, DO, FAAPMR.

Drs. Grierson and Sinn will continue to serve on the RUC, holding PM&R’s permanent seat beginning in March. In addition to Drs. Grierson and Sinn, PM&R is represented at the RUC by an advisor Carlo Milani, MD, MBA, FAAPMR and alternate advisor David Reece, DO, FAAPMR. Dr. Milani, with the support of the entire AAPM&R RUC team, tirelessly fielded questions and deliberated with RUC leaders from numerous medical specialties as they weighed the decision to award the seat to PM&R.

For years, PM&R was one of a very few American Board of Medical Specialties (ABMS)-recognized specialties to not have a seat on the RUC. Until 2018, we did not meet a set of five eligibility criteria. Nonetheless, we have remained active in the AMA RUC since its inception, representing the interests of physiatrists and working diligently over the last several years to earn a permanent seat. Earning the permanent RUC seat is a direct result of the passion of our volunteer leaders, their engagement in the AMA process and their keen understanding of the importance of the RUC in today’s reimbursement environment. Congratulations and thank you to our entire RUC team for their diligence and commitment on behalf of the specialty!

“There has been a team of physicians and staff from the AAPM&R working to propel our specialty forward nationally for many years, which to this point has culminated in Dr. Matthew Grierson and Dr. Clarice Sinn earning a permanent seat at the RUC. This win is due to the efforts of Team Physiatry and the ongoing excellence, dedication and integrity that Drs. Grierson and Sinn have brought to their work at the RUC for PM&R over the past two years,” said Dr. Milani.

Why the RUC Seat Matters

The RUC is one of the key processes by which the Centers for Medicare & Medicaid Services (CMS) determines how to value services. Its recommendations to CMS can be accepted, rejected or modified. These decisions have a ripple effect throughout the private insurance market and can affect compensation. Holding a permanent RUC seat will further promote the visibility of PM&R in the House of Medicine while also giving our specialty a long-term voice in deliberations about the valuation of codes presented to the RUC.

"When there is no physiatrist perspective for these major policy making bodies, it is no wonder that some of our colleagues do not understand the value of or perspective of our specialty. Having a permanent seat improves the quality of the deliberations because there is no other specialty out there whose primary focus is on patient function," said Dr. Grierson.

“This is an historic moment for the field of physiatry. It puts physiatry at the forefront of physician reimbursement. Our colleagues on the RUC see the value physiatrists bring to the table in giving us a permanent RUC seat. It is important for our voices to be heard when discussing values for CPT codes, as it ultimately affects how our members will get reimbursed. We may be a smaller community when compared to other specialties, but our opinions matter!” said Dr. Sinn.

Send a Note of Thanks

Extend a note of appreciation and congratulations to Drs. Grierson, Sinn, Milani and Reece by logging into PhyzForum (members only). Click on the three-dot icon to "Send Message."

Dr. Carlo Milani, Dr. Clarice Sinn, Dr. Matthew Grierson and Dr. David Reece.








Dr. Carlo Milani, Dr. Clarice Sinn, Dr. Matthew Grierson and Dr. David Reece (left to right).

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.