Getting paid: Non-facility setting favored in practice expense RVU revamp

Why This Topic Matters

Site of service can materially change physician reimbursement, so understanding the 2026 PE RVU restructuring helps practices anticipate payment shifts and assess financial impact across office and facility settings.

Article Sections

1. CMS final rule overview

   Introduces the 2026 Medicare physician fee schedule changes and the broader shift in how practice expense is allocated across settings.

2. Background on practice expense methodology

   Explains the historical basis for indirect practice expense allocation and why CMS says current practice patterns prompted a review.

3. Facility and non-facility payment structure

   Describes the general components of physician payment in facility and non-facility settings and how site of service affects the fee calculation framework.

4. Where to find the expected impact

   Points readers to the table in the final rule that summarizes projected payment effects by specialty and site of service.

5. RVU changes net mixed reviews

   Summarizes stakeholder reactions to the final rule and CMS’s response regarding assumptions about indirect practice costs.