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08/11/2025
A Part B News subscriber’s question about telemedicine payments, and the release of the proposed 2026 Medicare physician fee schedule, contain lessons that apply to all services: Check the relative value units for services you commonly report every year. And while you’re at it, look at the calculations for new services you plan to perform.
08/11/2025
The struggle against prior authorization in Medicare Advantage has raged for years, but a new wave of voluntary self-reforms by payers suggests that patient, payer and government pressure may be forcing some reforms.
08/11/2025
The Affordable Care Act authorizes the U.S. Preventive Services Task Force to make recommendations that result in no-cost preventive services coverage for beneficiaries of Medicare and other plans. But conflict between the Task Force and HHS Secretary Robert F. Kennedy Jr. may disrupt that process.
08/11/2025
Payments for services during the global surgery period remain a hot-button issue and the data collection program CMS implemented in 2017 is back in the spotlight, thanks to a July 1 report by the HHS Office of Inspector General. The OIG spelled out its conclusions in the July 1 report titled “CMS Should Improve Its Methodology for Collecting Medicare Postoperative Visit Data on Global Surgeries.”
08/11/2025
CMS has big plans for your Part B payments in 2026. For example, it wants to restructure reimbursement to favor services performed in non-facility settings, such as the office, and slash payments for services performed in the facility setting.

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