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08/10/2026
The 2027 Part B conversion factor is down between 1.2% and 1.7% depending on whether your group is working as an advanced alternative payment model (APM), according to CMS’ proposals. That will have an impact on high-volume services that are reported with frequency.
08/03/2026
Next year’s CPT manual will include new surgical implants to address knee pain and heart failure, repair diaphragm hernias and excise pharyngeal neoplasms.
08/03/2026
CMS is again proposing to modify the cost inputs that help determine physician fees for Part B services. The agency seeks to make additional tweaks to how it determines indirect practice expense work relative value units (RVU).
08/03/2026
CMS will cover the full range of office/other outpatient E/M visits and relax its virtual presence requirements if it finalizes two proposed changes to its teaching physician rules.
08/03/2026
Payment for group E/M visits could be an option in 2027, but practices would need to navigate a variety of restrictions and requirements if CMS finalizes the draft plan in the proposed 2027 Medicare physician fee schedule.
08/03/2026
E/M coding is one of the core elements of the medical practice revenue cycle process. Whether medical decision-making or time-based rules apply, it’s vital that practices, from physicians to coders, are fully up to speed.
08/03/2026
If the proposed 2027 Medicare physician fee schedule figures were finalized as is, providers would see fee cuts on about three times as many codes as fee gainers.
07/27/2026
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.
07/27/2026
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.
07/27/2026
You’ll select a modifier and receive a pay boost, one that’s amplified for eligible accountable care organization (ACO) participants, if CMS goes through its plan to replace patient trust code G2211 with two modifiers.

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