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Medicare and Compliance Changes
Be Prepared for January 1
Advance knowledge of the latest Medicare Physician Fee Schedule (PFS) Final Rule is essential to prepare for the 2026 payment year. The Centers for Medicare & Medicaid Services (CMS) has finalized key changes that will affect physician reimbursement, quality reporting, telehealth, and compliance requirements across every specialty. Join Practice Management Institute (PMI) for this timely update session designed to help you decode what’s final, what’s changing, and what’s next. You’ll gain clarity on the finalized payment policies, conversion factors, practice expense methodology, and supervision requirements that will shape reimbursement beginning January 1, 2026. Every practice that bills Medicare will be impacted. This session will explain the major provisions and help you identify both risks and opportunities for your organization under the new rule.
Learning Objectives
After attending this session, participants will be able to:
- Identify the two separate conversion factors and understand how the -2.5 % efficiency adjustment affects payment rates
- Describe major Practice Expense (PE) methodology revisions and their effect on different settings of care
- Comprehend updates to GPCIs, malpractice RVUs, and site-of-service adjustments
- Recognize new and revised G-codes and add-on codes for advanced primary care management and care coordination services
- Understand the finalized changes to telehealth coverage and the evolving definition of direct supervision using real-time audio/visual communication.
- Summarize CMS’s transition away from Public Health Emergency flexibilities for teaching physicians, with attention to rural and exception policies
- Review payment and coding policy changes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
- Analyze updates affecting skin substitute products, Part B drugs, ASP pricing, and 340B rebate methodologies
- Discuss the compliance implications and financial strategies practices should implement before the new rule takes effect
- Understand changes to the Quality Payment Program and Shared Savings Program
- Gain details about active items on the OIG Work Plan
Live, Interactive Learning and Helpful Resources
Get your questions answered in real time in PMI's live virtual classroom. Registration includes digital companion materials to serve as a resource beyond the classroom.
Full Schedule
Program times are Central unless otherwise noted.
| Session | Date | Time | Instructor |
|---|---|---|---|
| 1 | December 09, 2025 | 11:00 am - 2:00 pm | Jan Hailey |
Fee: $239.00
CEUs:
- PMI — 3
Target Audience
This intermediate-level course is designed for medical practice leaders and their staff responsible for managing the business aspects of a healthcare practice. A basic level of knowledge of provider billing and compliance processes is assumed. The content will also benefit healthcare consultants, compliance officers, and provider reimbursement teams.
Why Attend this Session?
Learn what you need to know about updated legislation and policy changes to help you best determine what course of action your practice should take in response. Often private payers follow Medicare guidelines for coverage decisions and reimbursement rates. Make informed decisions to guide your practice is a positive direction in the new year.
Register today to stay informed, compliant, and ready
PMI's new Virtual Classroom experience allows for optimal interaction. Get your questions answered by the instructor in real time and build a network with your peers.
Registration includes live instructor led classroom instruction plus companion digital materials. A meeting link will be provided by email 2 or 3 days prior to the event.
