decisionhealth Newsletters, Part B News - 2025 Issue 7 (July)
Facility-based fees get slashed as CMS prioritizes the office
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Article Overview
This article examines proposed CMS changes in the 2026 Medicare physician fee schedule that would affect how professional service payments are valued across office and facility settings. It is relevant for physician practices, specialty groups, coders, and revenue cycle teams tracking Medicare payment policy, site-of-service impacts, and proposed RVU-related updates.
Why This Topic Matters
The proposed changes could materially shift reimbursement expectations by specialty and by place of service, making it important for organizations that bill Medicare professional services to understand the direction of the policy before final adoption.
What You Will Learn
- How proposed Medicare physician fee schedule changes may affect professional service valuation
- Why site-of-service patterns matter in projected payment impacts
- Which broad specialty groups are expected to be most affected by the proposal
- How CMS is changing the payment methodology for indirect practice expense valuation and work RVUs at a high level
Who Should Read This
- Physician practices
- Specialty medical groups
- Medical coders
- Revenue cycle professionals
- Healthcare finance teams
- Medicare reimbursement analysts
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