BC Advantage - 2026 Issue 1
What We Are Watching in 2026: The MPFS Final Rule
<p>The Medicare Physician Fee Schedule (MPFS) Final Rule for 2026 was mostly unchanged from what was proposed a few months earlier. The conversion factors for 2026 Medicare reimbursement were proposed to be an increase of 3.3% to 3.8%, and the final figures came within that range but slightly lower by fractions. Payments for 2026 will depend on whether the physician is considered to be a Qualified Professional (QP) or a lower-paid non-QP based on their participation in an Advanced Payment Model (APM). The Efficiency adjustment and the Site of Service adjustment were finalized. The latter...
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