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A flurry of payment and policy changes are coming in 2026, from significant place of service (POS) pay disparities to revamped incident-to billing rules and much more.
 
How will your practice react to the changes in the new year?
 
 
CMS will expedite the next National Correct Coding Initiative update to stop denials when a provider reports administration of the COVID-19 vaccine and another vaccine code for the same patient on the same day.
 
The Continuing Appropriations and Extensions Act, 2026 (CAE 2026), reactivated the COVID-19 telehealth waivers until Jan. 30, 2026. Better still, the CAE 2026 closed a potential telehealth payment gap by backdating the extension to Sept. 30, 2025.
 
Your providers will see higher conversion factors (CF) in 2026, with a 3.8% boost to those participating in qualifying alternative payment models (APM) and a 3.3% increase for everyone else. Yet a yawning gap in reimbursement levels will confront practices in 2026, depending on whether your providers deliver care in the non-facility or facility setting.
 
 
You’ll find a fresh batch of CPT codes that you can begin reporting on Jan. 1, 2026, with 288 new codes coming online, including two new E/M codes covering remote physiologic monitoring (RPM). The code update, announced with the release of the 2026 CPT Manual, also includes 46 revised code descriptors and 84 deleted codes.
 

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