Proposed fee schedule: CMS plans to slash practice expense RVUs in facility setting

Article Overview

This article explains a proposed CMS update to the Medicare physician fee schedule focused on practice expense RVU methodology, with emphasis on how facility and non-facility payment estimates could change in 2026. It is relevant to physicians, coders, practice managers, and reimbursement professionals who track CMS rulemaking, valuation methodology, and fee schedule impacts. The discussion includes the policy rationale, the affected setting of service, a worked payment example, and CMS’s request for public comment.