CMS mulls global surgery period reductions, additions and revisions
By: Julia Kyles, CPC
CMS is still focused on reimbursement for procedures that have a global surgery period. In the coming year, practices could see changes to reporting requirements for global period services and you also might see pay cuts when a provider reports an E/M visit with one or more codes that have a global surgery period. In some good news, you may have the ability to report global surgery period services with patient trust code G2211.
CMS floats shift away from CPT code set in request for information
By: Richard Scott
In a stunning proposal, CMS is considering a move away from its reliance on the AMA’s CPT code set and the physician organization’s contributions to setting physician service valuations through the AMA Relative Value Scale Update Committee, or RUC.
MIPS MVP goes mandatory in 2029; QPP otherwise quiet
By: Roy Edroso
In the 10th year of the Quality Payment Program (QPP), CMS proposes a substantial change for providers in the Merit-based Incentive Payment System (MIPS): Making the specialty-specific MIPS Values Pathways (MVP) version of reporting that has been optional for four years mandatory for all MIPS participants in 2029.
Part B News Features
Ask a Part B News Expert
Question: What are some tips for properly documenting E/M visits as it relates to medical decision-making (MDM), particularly when it comes to improving communication with providers?... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
In response to comments about its specialty impact table, CMS has created a file designed to “offer interested parties’ additional information that addresses concerns about the lack of g... More
Ask a Part B News Expert
Question: What are some tips for properly documenting E/M visits as it relates to medical decision-making (MDM), particularly when it comes to improving communication with providers?... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
In response to comments about its specialty impact table, CMS has created a file designed to “offer interested parties’ additional information that addresses concerns about the lack of g... More
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Part B News Blog
Jul 14, 2026
Breaking: Conversion factor dips as CMS proposes cuts, floats major coding updates
by: DecisionHealth staff
Jul 10, 2026
Facility-based specialists ask CMS for relief from indirect practice expense cuts
by: Julia Kyles, CPC
Jun 26, 2026
Telehealth claims continue to fall, as eligibility wavers
by: Julia Kyles, CPC
Tools
Update to the list of designated health services – 2026
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Current and new descriptors for 21 CPT codes – 2026
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
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Benchmark of the Week
Catch new file from CMS for top specialties by RVUs, enrollment
In response to comments about its specialty impact table, CMS has created a file designed to “offer interested parties’ additional information that addresses concerns about the lack of granularity in our impact tables,” CMS wrote in the proposed 2027 Medicare physician fee schedule. To show how the impacts can vary, the agency created a file that “models the expected percentage change in total RVUs per practitioner."
Practices take modest approach to caregiver training after 2024 debut
Medical groups took a slow embrace of caregiver training services (CTS) after CMS rolled out three codes eligible for Medicare billing in 2024. But practices still cleared more than half of a million dollars in payments for the codes, hinting at greater potential ahead.
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