Medicare & Compliance Changes
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
Learn what you need to know
about the changes to help you best determine what course of action your
practice should take in response. Make informed decisions to guide your
practice is a positive direction in the new year.
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
Registration includes digital
companion materials to serve as a resource beyond the classroom.
Continuing Education Units (CEUs)
Earn 3 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).
If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.
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