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2026 Medicare Physician Fee Schedule: What to know about the rule
2026 Medicare Physician Fee Schedule: What to know about the rule
November 11, 2025
The CMS' final rule includes an increased base conversion factor, reflecting a temporary 2.5% statutory increase, as well as other updates that will affect practices.
Tag(s): Advocacy, Federal Advocacy
Key Takeaways
- The qualifying APM conversion factor increased by 3.77% while the nonqualifying APM conversion factor increased by 3.26% with the final rule.
- CMS reduced indirect practice expense RVUs for services delivered in the facility setting, impacting reimbursement for care provided in these settings.
- CMS removed the distinction between provisional and permanent telehealth services, and all Medicare Telehealth Services List are now considered included on a permanent basis.
- CMS considered AOA feedback in several additional updates, ranging from code valuations to MIPS QPP and more.
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