DecisionHealth, DecisionHealth - 2025 Issue 7 (July)

CMS ups 2026 fees, favors non-facility sites of service; previews new codes, models

Professional Part B Medicare fees are on the upswing overall, but site of service will be a huge factor in reimbursement in 2026. The proposed 2026 Medicare physician fee schedule, released July 14, boosts the Part B conversion factor for CY 2026, adds billing opportunities for behavioral health services, previews new codes and updates the agency’s quality reporting programs.

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