decisionhealth Newsletters, Part B News - 2026 Issue 8 (August)
Revisions to practice expense RVUs continue, with feedback sought
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Article Overview
This article covers proposed updates to indirect practice expense valuation in the 2027 Medicare Physician Fee Schedule, including a planned transition away from an existing cost index and changes affecting nursing facility services. It also summarizes concerns raised about site-of-service payment differences, possible approaches for further review, and the agency’s request for public comment. The article is relevant to physicians, medical practices, and organizations following Medicare physician payment policy.
Why This Topic Matters
The proposals may affect how practice expenses are represented across care settings, while CMS is seeking input on the operational effects of recent changes and the design of future payment methods.
Article Sections
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Physician payments
This section discusses proposed changes to indirect practice expense valuation in the Medicare physician fee schedule and CMS’s stated rationale for revisiting its methodology.
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Nursing home RVUs could change
This section covers the effects of site-of-service valuation changes on nursing facility services and a proposed adjustment to related practice expense values.
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CMS seeks comment on 2026 changes
This section summarizes stakeholder feedback on recent payment changes, CMS’s interest in additional data and approaches, and the comment deadline.
What You Will Learn
- What changes CMS is proposing for indirect practice expense valuation in the 2027 Medicare physician fee schedule.
- How the article describes potential effects of site-of-service policy on nursing facility services.
- What concerns and possible approaches CMS is considering in response to stakeholder feedback.
- The agency’s stated timeframe for submitting comments.
Who Should Read This
- Physicians
- Medical practice administrators
- Medical billing and coding professionals
- Healthcare organizations and policy professionals monitoring Medicare physician payments
Codes Discussed
Code Ranges Discussed
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