Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
RACs limited in ability to use automated review to find overpayments, CMS reveals
Good news: There are only three situations a Recovery Audit Contractor (RAC) can use an automated review to determine a claim was an overpayment - and demand you pay up. Even better, knowing what the three scenarios are, you can predict how likely it is that you'll be seeing RAC letters in your mailbox.
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