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Benchmark of the Week
01/19/2026
Whether practices performed an organ- or disease-oriented lab panel with a simplified or more complex laboratory test, the comprehensive metabolic panel (80053) dominated lab panels performed in place of service 11 (Office) for the years 2020 to 2024.
01/12/2026
Practices upped their annual wellness visit (AWV) reporting and cleared a new high in reimbursement for subsequent AWV code G0439 in 2024, topping $1.1 billion in payments.
01/05/2026
Concierge care, coding updates and telehealth were among the topics of greatest interest to you and your peers in 2025. A review of traffic data for partbnews.com, the Part B News website, revealed the articles and blog posts that received the highest number of views this year.
12/22/2025
The place of service (POS) where your providers tend to perform E/M services, including office visits and the care management suite of codes, will significantly influence your reimbursement in 2026. After CMS charted a course that favors non-facility sites of care, the E/M fee picture is coming into focus.
12/15/2025
Utilization of the operation-related modifiers 24 (Unrelated evaluation and management service by the same physician during a postoperative period) and 57 (Decision for surgery) has held relatively stable in recent years, and 2024 was no exception.
12/08/2025
Prior authorization requests for eight types of services performed in the hospital outpatient setting took a great leap forward in fiscal year (FY) 2024. But there’s good news: While requests nearly doubled from FY2023 to FY2024, denials did not keep pace.
11/24/2025
In the 2026 physician fee schedule final rule, the difference between the non-facility fees for non-APM participants and APM participants – a signal feature of the new rule, with two distinct conversion factors (CF) – may seem small at first glance. But it gets bigger as the number rise and compares favorably with recent years’ fees.
11/17/2025
Capture a sense of how relative value unit (RVU) fluctuations depending on a provider’s place of service (POS) are expected to impact specialties’ reimbursement in 2026, after CMS finalized several initiatives to modernize its ratesetting mechanisms.
11/10/2025
Refresh your staff on the add-on codes for prolonged E/M encounters in the hospital (G0316), nursing facility (G0317), home or residence (G0318) and office or other outpatient (G2212) settings, with a focus on nursing facility visits.
11/03/2025
Claims for visit-complexity code G2211 took the #48 spot on the most-billed Part B Medicare services in 2024, showcasing the code’s rapid rise into relevance.

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