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Brace for impact: CMS announced a reduction to physician fees for CY 2027 that would, in aggregate, lower professional fees across services in 2027. The conversion factor (CF), one of CMS’ primary ratesetting mechanisms, would drop between 1% and 2% depending on the professional fee setting.
 
CMS also announced in the proposed 2027 Medicare physician fee schedule, released today, that it may seek an alternative method of calculating fees in a repudiation of the AMA’s valuation system. In fact, the agency questions whether it should move away from the CPT code set entirely. Also, CMS is eyeing a revamped system for primary care payments is teasing new codes that are set to come online next year.
 
 
Two physician groups asked CMS to exclude independent clinicians from the indirect practice expense reduction that went into effect Jan. 1. Their proposed solution includes the creation of a new modifier.
 
 
The percentage of Medicare Part B patients who received a telehealth service declined to 23% in 2025 after holding steady at 25% for two years. Government turmoil and uncertainty might be responsible for the dip.
 
 
Continue your team’s training on new coding guidance for existing diagnosis codes. This overview covers updated instructions such as clarifying terms, Excludes notes and Code also notes that will go into effect Oct. 1, in ICD-10-CM chapters 11, 14, 15, 18, 19 and 21.
 
 
Discover an important update to your continuing education unit (CEU) access, as DecisionHealth readies to launch a new and improved platform for Part B News subscribers.
 

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