Advisory Board November 4, 2025
CMS last week finalized the 2026 Medicare Physician Fee Schedule (MPFS), which includes a slight payment increase, a new mandatory payment program, and other changes.
Inside the 2026 MPFS final rule
Starting in 2026, CMS will implement two separate conversion factors for the MPFS: one for qualifying participants (QPs) in alternative payment models and one for non-QPs. The final rule increases the conversion factor by 3.77% and 3.26% for QPs and non-QPs, respectively.
Payment updates include a 0.75% increase for QPs, a 0.25% increase for non-QPs, a 3.5% increase as required by the One Big Beautiful Bill Act, and a 0.49% increase to account for changes in the work relative value units (RVU).
The final rule also implements an...
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