CMS 2026 Physician Fee Schedule: Key Changes Providers Must Know for Billing Success
The CMS 2026 Physician Fee Schedule brings targeted updates to payment rates and workflows, directly affecting how practices handle Medicare claims. Providers adapting early see smoother reimbursements and compliance. What Are the Major Rate Changes in the 2026 PFS? CMS set two conversion factors: $33.57 for qualifying alternative payment model participants, up 3.77% from 2025, and $33.40 for others, up 3.26%. These reflect statutory boosts like 2.5% from recent legislation plus a 0.49% budget-neutrality adjustment. What this means for practices: How Does the Efficiency Adjustment Impact Work RVUs? A new -2.5% cut hits work relative value units for non-time-based services, …