Medicare Physician Fee Schedule Final Rule for 2026

Each year CMS issues a Final Rule for services paid under the Medicare Physician Fee Schedule (PFS). This rule document defines and explains the logic for changes to items as well as potentially explaining coverage and payment issues for the code(s). 

Policies and procedures for existing codes are also a part of the PFS Final Rule. Clarifications of existing guidelines and new one are included.

Not only does CMS explain their logic I making their final rule, the document also responds to questions posed after the issuance of the proposed (PFS) rule. This is released earlier in the year. Usually in June or July. These comments offer invaluable reasoning as to what the authors were thinking and to different scenarios for the code or situation.  

This audioconference analyzes the historically two thousand pages of information to glean the most important facts for most offices. This information is published in an edition the federal register.

Webinar Objectives

Fees for 2026 are changing. Not only the conversion factor but other items such as a change to the practice expense logic and the creation of differing RVUs for practice expenses.

Dental services continue to evolve in the coverage by Medicare. This expanding area for payment by Medicare is well defined here

The Social Determinants of Health Assessment code is undergoing changes that include a name change. 

Telehealth services, although the extension for payment is only extended to January 1, 2026 as of this date, comments on the use of telehealth services after this return to pre-PHE time are helpful. 

Virtual supervision has been made permanent. The clarification of this change is explained and the frequency of use of this unique situation defined as in-frequent

Webinar Agenda

• Fees – what are RVU changes and multiplier conversion factors for 2026
• What does the permanency of virtual supervision mean for services that are defined as needing direct supervision?
• Were there any changes for teaching physicians and their level of supervision required with residents?
• What are the changes to Social Determinants of Health philosophy and why the name change?

Webinar Highlights

• What is the conversation factor for 2026 for the PFS
• What changes in the RVU’s for hospital owned practices are occurring in 2026
• What does virtual supervision look like in 2026 for services
• What are the updates to telehealth services for 2026
• What are the add on codes for advanced primary care management services and how are they used

Who Should Attend

Coders, Billers, Office Managers, Office Administrators