Healthcare Consulting Resources

You can access valuable healthcare resources, including the physician fee schedule, by visiting https://www.cms.gov/medicare/physician-fee-schedule/search. This platform offers essential consulting services related to revenue cycle management, helping healthcare professionals optimize their billing processes.

The CMS 2026 Physician Fee Schedule (PFS) final rule was released on October 31, 2025, and includes significant policy changes effective January 1, 2026. Among the key updates is the implementation of two separate conversion factors—one for qualifying Alternative Payment Model (APM) participants ($33.57) and another for non-qualifying participants ($33.40)—representing approximately 3-4% increases from 2025. Additionally, the rule introduces an efficiency adjustment of -2.5% for certain non-time-based services and permanently removes frequency limits for subsequent inpatient, nursing facility, and critical care visits. It also finalizes a permanent virtual supervision policy for services such as diagnostic and rehabilitation, which are essential healthcare resources that can enhance revenue cycle management for providers. Calendar Year (CY) 2026 Medicare Physician Fee Schedule updates can be found on the CMS website.

For comprehensive healthcare resources related to Medicare coding and billing, you can visit the official NCCI Medicare website. This resource provides vital information that can assist healthcare providers in navigating revenue cycle management effectively. Additionally, consulting services are available to help organizations optimize their processes and ensure compliance with Medicare regulations.

The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) is a significant step towards improving the efficiency of healthcare resources and streamlining processes within revenue cycle management. By implementing these policies and regulations, healthcare providers can enhance their operational workflows, making it easier to access the necessary data for patient care. Consulting services can also play a crucial role in helping organizations navigate these changes, ensuring compliance while maximizing the benefits of interoperability.

For comprehensive information on the Healthcare Common Procedure System, including coding and billing resources, please visit https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system. This resource provides essential healthcare resources that can enhance your understanding of revenue cycle management, as well as offering insights into consulting services tailored for healthcare professionals.

At WebMD, we offer a variety of healthcare resources that empower you to take charge of your health. Our platform also connects you with consulting services tailored to your needs, ensuring that you have access to expert advice when you require it. Additionally, we provide insights into revenue cycle management, helping healthcare providers optimize their financial processes while focusing on patient care.

For comprehensive guidance on ICD-10-CM coding, healthcare professionals can refer to the latest coding guidelines available at the provided resource link. Utilizing these guidelines is essential for effective revenue cycle management, ensuring that healthcare resources are optimally utilized. Additionally, consulting services may assist in navigating the intricacies of these coding updates to enhance operational efficiency.