2026 Medicare Physician Fee Schedule Proposed Rule

Event Materials (Key Required)

“2026 Medicare MPFS Trail Guide: Wrangling the New Rules”

Every year, Medicare reshapes the financial landscape for providers, and the 2026 Medicare Physician Fee Schedule (MPFS) is no exception. In this fast-paced, one-hour seminar, nationally recognized consultant. Don Self will walk attendees through the most important changes in plain English—using clear visuals, cowboy wit, and real-world examples that translate dense regulations into practical action steps.

We’ll start by breaking down the two new conversion factors (one for QPs and one for non-QPs) and explain why the much-talked-about -2.5% efficiency adjustment is more than just a line in the Federal Register—it’s a squeeze on providers that shifts dollars away from procedures and toward time-based care management. Attendees will see exactly what this means through side-by-side comparisons and case studies.

From there, we’ll explore the RPM and RTM code overhauls: new short-duration device supply codes, first 10-minute management options, and the valuation changes that could affect monthly recurring revenue streams. We’ll also cover the integration of APCM, BHI, and CoCM with new G-codes designed to reduce minute-counting burdens, as well as telehealth and supervision policies that directly impact rural health clinics and FQHCs.

Finally, participants will leave with clear action steps: how to audit their most-used codes, anticipate revenue impacts, educate staff, and prepare thoughtful ideas to be ready for the 2026 Changes.

Whether you’re a physician, NP, manager, or biller, this seminar arms you with the knowledge you need to keep your clinic compliant, profitable, and ready for January 1st.

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Educational Objectives:

⇒Identify the two conversion factors for 2026 and explain how QP and non-QP status affects reimbursement

⇒Describe the purpose and scope of the new -2.5% efficiency adjustment, including which services are impacted and which are exempt

⇒Compare the 2025 and 2026 RPM coding families, including the addition of short-duration device supply codes and first 10-minute management codes

⇒Differentiate between RPM and RTM coding structures for 2026, noting the unique device and management code options in each

⇒Explain how the new APCM add-on G-codes integrate Behavioral Health Integration (BHI) and Collaborative Care Management (CoCM) without minute-counting

⇒Summarize the 2026 telehealth policy changes, including additions to the Medicare telehealth list, the distinction between RPM/RTM and telehealth, and teaching physician presence requirements

⇒Evaluate how CMS’s decision to rely on OPPS cost data vs. survey data will impact practice expense calculations

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Areas Covered in the Session:

⇒Overview of the 2026 Medicare Physician Fee Schedule (MPFS) – why the updates matter and how they affect providers nationwide

⇒Conversion Factors Explained – breakdown of the two separate CFs for Qualified Participants (QPs) vs. non-QPs, and what this means for payment rates

⇒The New -2.5% Efficiency Adjustment – which services are impacted, which are exempt (E/M, CCM, APCM, BHI, maternity globals, telehealth), and how this shifts revenue

⇒Remote Physiologic Monitoring (RPM) Updates – new short-duration device supply code, revised management structure (first 10 minutes), and RVU decisions

⇒Remote Therapeutic Monitoring (RTM) Expansion – new device codes, additional management code, and CMS’s decision to hold RVUs lower than RUC recommendations

⇒APCM Integration with Behavioral Health – new G-codes (GPCM1–3) that allow bundling of APCM, BHI, and CoCM services without minute-counting

⇒Telehealth Policy Updates – additions and deletions to the Medicare telehealth list, clarification that RPM/RTM are not telehealth, and return to pre-PHE teaching physician presence rules

⇒Rural Health Clinic (RHC) and FQHC Updates – APCM add-ons recognized, G0071 remote evaluations, direct supervision via audio-video, and G2025 telehealth billing extended through 2026

⇒Practice Expense Valuation Changes – CMS’s rejection of AMA survey data, reliance on OPPS cost reports, and impacts on radiation therapy, monitoring, and skin substitutes

⇒Other Key Highlights – ASP clarifications (bundled arrangements, bona fide service fees), cell/gene therapy policy updates, and MIPS/QPP quality measure changes

⇒Live Q&A Session

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Who Will Benefit:

⇒Medical Providers (Physicians, NPs, PAs)

⇒Office Managers and Administrators

⇒Medical Billers

⇒Coders

⇒Office Managers

⇒Practice Administrators

⇒Hospital Administrators

⇒Group Practice Executives

⇒Medical Billers

⇒Billing Staff

⇒Coders

⇒Coding Staff

⇒Denial Management Teams

⇒Revenue Cycle Specialists

⇒Auditors

⇒Compliance Officers

⇒Reimbursement Consultants

⇒Practice Management Consultants

⇒Quality Program Managers (QPP/MIPS)

⇒Telehealth Program Managers

⇒Behavioral Health Program Managers

⇒Rural Health Clinic (RHC) Leaders

⇒Federally Qualified Health Center (FQHC) Leaders

⇒Insurance Payers

⇒Insurance Company Claims Reviewers

⇒Payment Policymakers

⇒Healthcare Attorneys

⇒Policy Analysts

⇒Healthcare Accountants

⇒Chief Financial Officers (CFOs)

⇒Chief Operating Officers (COOs)

⇒Health System Executives

⇒Medical Association Leaders

⇒Third-Party Billing Companies

Presenter Biography:

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Additional Information:

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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Purchase Order Form – Click Here to download PO form.

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Snippet From Our Previous Session