decisionhealth Newsletters, Part B News - 2025 Issue 8 (August)
2026 outlook: Proposed fee winners, losers reveal sharp ups and downs
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Article Overview
This article examines proposed 2026 Medicare physician fee schedule payment changes and compares the services projected to be the largest percentage fee winners and losers. It is aimed at medical coders, billing professionals, practice managers, and reimbursement analysts who track Medicare policy and payment trends. The piece summarizes the data sources, the comparison method, and the broad mix of procedure and radiology services appearing on the gainers-and-losers lists.
Why This Topic Matters
Proposed fee schedule changes can affect reimbursement expectations, service mix, and planning for Medicare-participating practices. Understanding which services are projected to rise or fall most helps coding and reimbursement teams monitor potential financial impact.
What You Will Learn
- How the article frames projected payment changes under the proposed 2026 Medicare physician fee schedule.
- What types of services appear among the projected payment gainers and losers.
- How the comparison is based on Medicare fee schedule data and relative value unit methodology.
- Which broad payment factors are used in the projection analysis.
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Revenue cycle professionals
- Practice managers
- Reimbursement analysts
Codes Discussed
Modifiers Discussed
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