BC Advantage - 2025 Issue 12

What Is the Real Impact of the 2026 MPFS Proposed Rule on Radiology Practices?

What You'll Learn   How the 2026 MPFS Proposed Rule impacts radiology reimbursement Why the conversion factor increase doesn’t tell the full story How different imaging modalities are affected Why modality mix matters for revenue planning What practices should know for financial forecasting      While the initial impression of the Medicare Physician Fee Schedule (MPFS) Proposed Rule for 2026 was an increase of 3.83% or 3.32% depending upon a physician's APM status, the real story is told by doing further analysis. We performed a volume-weighted analysis for a composite sample practice using volumes from...

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