decisionhealth Newsletters, Part B News - 2025 Issue 11 (November)
2026 top code payments a far cry from the lean years
Subscribe or sign in to view the full article.
Article Overview
This article reviews Medicare physician fee schedule payment trends in the 2026 final rule and compares them with recent years. It focuses on high-utilization CPT procedures, the effect of separate conversion factors for APM and non-APM participants, and how overall payment levels changed from 2024 through 2026. The piece is intended for coders, billers, and reimbursement professionals tracking physician fee schedule updates and Medicare fee impacts.
Why This Topic Matters
Understanding the 2026 fee schedule helps coding and reimbursement staff anticipate Medicare payment changes, compare year-over-year trends, and evaluate the effect of different conversion factors on commonly used procedures.
What You Will Learn
- How 2026 Medicare physician fee schedule trends compare with prior years
- Why APM and non-APM payment differences matter in the final rule
- How payment changes affect high-utilization CPT procedures over time
- What broad fee schedule shifts mean for reimbursement planning
Who Should Read This
- Medical coders
- Medical billers
- Reimbursement analysts
- Practice managers
- Healthcare finance professionals
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com