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

CMS has released a proposed rule outlining Medicare payment and coverage policy changes for calendar year 2027 under the Physician Fee Schedule, with implications for Part B services including those billed by physical therapists. The proposal encompasses updates to the Quality Payment Program, Medicare Shared Savings Program, Rural Health Clinic policies, and codification of provisions from the Inflation Reduction Act and Consolidated Appropriations Act of 2026. PT practitioners should monitor this rulemaking for any adjustments to relative values, conversion factors, or therapy-related billing policies.

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