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.
Review payer requirements to capture all your tobacco cessation payments
Now that some Medicare contractors require smoking patients to quit before major joint replacements, it might make sense for practices to offer — and get reimbursed for — tobacco cessation counseling. If you decide to provide this service, make sure to document and code the counseling sessions correctly to ensure proper reimbursement.
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