Industry tools
The CMS 2026 Physician Fee Schedule (PFS) final rule was released on October 31, 2025, and includes policy changes effective January 1, 2026. Key updates include the implementation of two separate conversion factors—one for qualifying Alternative Payment Model (APM) participants ($33.57) and one for non-qualifying participants ($33.40)—representing approximately 3-4% increases from 2025. The rule also introduces an efficiency adjustment of -2.5% for certain non-time-based services, makes the removal of frequency limits for subsequent inpatient/nursing facility/critical care visits permanent, and finalizes a permanent virtual supervision policy for services like diagnostic and rehabilitation.
Show all
Copyright © 2025 MirimGonzalezConsulting - All Rights Reserved.