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

CMS has finalized the Calendar Year 2026 Physician Fee Schedule rule, which establishes updated payment rates and coverage policies for Medicare Part B services effective January 1, 2026. The rule encompasses revisions to relative value units, Quality Payment Program updates, Medicare Shared Savings Program requirements, and changes affecting Rural Health Clinics and Federally Qualified Health Centers. Physical therapists and other Part B providers should review the finalized conversion factor and any service-specific payment adjustments that may affect outpatient billing.

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