Medicare PFS 2026 Proposed Rule: Key Changes and Comment by September 12, 2025
What Changed
Action required by
September 12, 2025
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
What Changed
The proposed rule for the Calendar Year (CY) 2026 under the Medicare Physician Fee Schedule (PFS) introduces several significant updates, with an effective date to be confirmed in the final rule. These updates include adjustments to payment rates for various services, potentially affecting reimbursement levels. Additionally, the rule revises the methodology for determining payment rates, which could alter billing and reimbursement processes for healthcare providers.
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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.