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fee schedule reimbursement alerts

Reimbursement alerts filtered by specialty and region tags for faster analysis across coding, compliance, and revenue integrity.

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Overview

18 alerts match the tag fee schedule. Review high-value policy alerts and the underlying claims guidance that matters.

Quick stats

Alert count

18

Distinct policy codes

18

Average signal score

53

Related codes

Signal breakdown

18 shown · 18 total in platform

Risk: Critical
1

Critical

6%

2

High

11%

15

Routine

83%

0

Low

0%

New this month

+1

alerts added in last 30 days

Effective soon

1

policies effective within 30 days

CMS Transmittal R13929CP: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2026 Update…

Policy CMS-T-R13929CPPhysician Fee Schedule

Critical

This transmittal implements the quarterly October 2026 update to the Medicare Physician Fee Schedule Database (MPFSDB), effective October 5, 2026. Billing teams should anticipate changes to relative v

CMS Transmittal R504PR1: Provides for calendar year (CY) inflation factors to update previous years’ reasonable…

Policy CMS-T-R504PR1Physician Fee Schedule

Routine

This transmittal provides CY inflation factor updates to adjust previous years' reasonable charge amounts, likely affecting payment rates for Medicare Part B services. Billing teams should review upda

Federal Register Proposed Rule: Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program

Policy FR-2026-14327Physician Fee Schedule

Routine

CMS proposes CY 2027 updates to the Physician Fee Schedule and Part B payment policies, including revised relative values, new policies for the Ambulatory Specialty Model, Medicare Shared Savings Prog

CMS Transmittal R13845CP: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2026 Update

Policy CMS-T-R13845CPPhysician Fee Schedule

High

CMS is implementing the July 2026 quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB), effective July 6, 2026. This update likely includes revised RVUs, payment rates, and coding

Federal Register Final Rule: Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction

Policy FR-2026-04797Physician Fee Schedule

Routine

The corrections made in the CY 2026 PFS final rule will directly affect reimbursement rates and billing practices under Part B, ensuring providers have accurate information for compliance. By clarifyi

Federal Register Final Rule: Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction

Policy FR-2025-21458Physician Fee Schedule

Routine

The correction to the CY 2026 PFS final rule highlights key updates in payment policies under the Medicare physician fee schedule, which may impact reimbursement rates for providers. It is essential f

Federal Register Final Rule: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment

Policy FR-2025-08676Physician Fee Schedule

Routine

The correction to the CY 2025 Physician Fee Schedule final rule will ensure accurate billing and reimbursement processes for providers under the Medicare program. These amendments may impact payment r

Federal Register Final Rule: Medicare and Medicaid Programs; CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program; Corrections

Policy FR-2024-02705Physician Fee Schedule

Routine

The recent corrections to the CY 2024 PFS final rule reinforce previous payment policies while ensuring accuracy, which is crucial for compliance and appropriate billing practices. Providers must care

Federal Register Final Rule: Medicare and Medicaid Programs, CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Implementing Requirements for Manufacturers of Certain Single-Dose Container or Single-Use Package Drugs To Provide Refunds With Respect to Discarded Amounts; and COVID-19 Interim Final Rules; Corrections

Policy FR-2023-04961Physician Fee Schedule

Routine

The recent updates to the Physician Fee Schedule (PFS) may influence billing and reimbursement strategies across various medical specialties, ensuring compliance with new refund requirements for drug

Federal Register Final Rule: Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program

Policy FR-2025-19787Physician Fee Schedule

Routine

The upcoming changes to Medicare Part B policies will significantly impact reimbursement rates for various services, including updates to the Physician Fee Schedule (PFS). These revisions aim to align

Federal Register Proposed Rule: Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction

Policy FR-2025-15492Physician Fee Schedule

Routine

The correction to the proposed rule addresses typographical and technical errors affecting the Medicare physician fee schedule, which may impact the reimbursement rates for healthcare providers in CY

Federal Register Proposed Rule: Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program

Policy FR-2025-13271Physician Fee Schedule

Routine

The proposed rule for CY 2026 outlines significant updates to the Medicare Physician Fee Schedule which can impact reimbursement for various services. Key changes include updates to payment policies t

Federal Register Final Rule: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments

Policy FR-2024-25382Physician Fee Schedule

Routine

The new rule set to take effect on January 1, 2025, introduces significant changes to the Physician Fee Schedule (PFS) and updates various Medicare Part B payment policies. These modifications aim to

Federal Register Proposed Rule: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments

Policy FR-2024-14828Physician Fee Schedule

Routine

The proposed rule includes significant updates to the physician fee schedule and Medicare Part B payment policies, which could lead to alterations in reimbursement rates across various services. Provi

Federal Register Final Rule: Medicare and Medicaid Programs; CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program

Policy FR-2023-24184Physician Fee Schedule

Routine

The new rule introduces changes to the Physician Fee Schedule impacting reimbursement rates and coverage policies for various services, including dental and opioid use disorder treatments. Key updates

Federal Register Proposed Rule: Medicare and Medicaid Programs; CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program

Policy FR-2023-14624Physician Fee Schedule

Routine

The proposed rule includes significant revisions to the Physician Fee Schedule (PFS) and enhancements to Medicare Part B payment policies, potentially impacting reimbursement rates and coverage for va

Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction

Policy 2026-04797Physician Fee Schedule

Routine

This document corrects typographical and technical errors in the final rule that appeared in the November 5, 2025 Federal Register titled "Medicare and Medicaid

2026 Physician Fee Schedule (PFS)

Policy PHYSICIAN-FEE-SCHEDULE-PFS-2026Physician Fee Schedule

High

2026 Physician Fee Schedule (PFS) — official CMS fee schedule. Effective January 1, 2026.