decisionhealth Newsletters, Part B News - 2025 Issue 8 (August)
Sudden impact: Proposed payment chart highlights CMS’ pay plans
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Article Overview
This article reviews a CMS payment impact chart tied to the proposed 2026 Medicare physician fee schedule. It is focused on how selected professional services are projected to change under the proposed payment framework in facility and non-facility settings, and it is relevant to clinicians, billers, coders, and reimbursement professionals tracking Medicare Part B policy updates.
Why This Topic Matters
The piece helps readers understand the scope of CMS’ proposed payment shifts for 2026 and how those changes differ by site of service. That makes it useful for practices evaluating reimbursement exposure and planning around Medicare Part B policy changes.
Article Sections
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Benchmark of the week
A brief lead-in framing the article’s focus on Medicare Part B payment changes and the proposed 2026 payment environment.
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Impact on CY 2026 Payment for Selected Procedures
An overview of the CMS payment impact table for selected services, including the general comparison between facility and non-facility settings and the year-over-year payment context.
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Selected procedures chart
A tabular presentation of selected services with proposed payment comparisons by setting and percent changes for the 2026 proposal.
What You Will Learn
- How CMS is presenting proposed 2026 payment impacts for selected services
- The general difference between facility and non-facility payment changes
- Which types of services are included in the CMS impact chart
- How the proposed rule’s payment context is being summarized for stakeholders
Who Should Read This
- Medical coders
- Billing staff
- Physician practice administrators
- Revenue cycle professionals
- Healthcare reimbursement analysts
- Clinicians affected by Medicare Part B payment changes
Codes Discussed
Modifiers Discussed
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