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2026 CMS Final Rule: Impacts on Hospital Medicine

2026 CMS Final Rule: Impacts on Hospital Medicine

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2026 CMS Final Rule: Impacts on Hospital Medicine
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Final Rule, which includes updates to the Quality ... Read more
2026 CMS Final Rule: Impacts on Emergency Medicine
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Final Rule, which includes updates to the Quality ... Read more
CMS ANES
2026 CMS Final Rule: Impacts on Anesthesia
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Final Rule, which includes updates to the Quality ... Read more
2026 CMS Final Rule: Impacts on Radiology
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Final Rule, which includes updates to the Quality ... Read more
Doc-to-Doc Series: The Undermining of Emergency Medicine: Insurer Tactics, the Fragile Safety Net, and the Fight for Just Compensation
By Jamie Shoemaker, MD, FACEP Emergency physicians serve on the front lines of America’s healthcare safety net, providing essential, life-saving care to anyone at any ... Read more
2026 CMS FInal Rule
Overview of the 2026 CMS Final Rule
On October 31, 2025, CMS released the CY 2026 Physician Fee Schedule (PFS) Final Rule. Below is a summary of the most relevant updates impacting ... Read more
Doctors consulting tablet- ICD-10-CM 2026 Updates
ICD-10-CM 2026 Updates: What’s New, What’s Gone, and What’s Next
Every October 1 marks an important milestone for healthcare organizations—the release of annual ICD-10-CM code updates. The 2026 updates introduce a mix of revisions, brand-new ... Read more
2025 ACEP Scientific Assembly Key Takeaways
We are excited to share the highlights from ACEP Scientific Assembly 2025 in Salt Lake City. Our leaders had insightful discussions and gathered valuable information ... Read more
Doc-to-Doc Series: Strong RCM is an Antidote to the Anesthesia Workforce Crisis
By Jason Greenberg, MD  Edging out poor commercial payer behavior and the continuous issue of declining Medicare reimbursement rates, the workforce crisis is now considered ... Read more
2026 CMS Proposed Rule: Impacts on Hospital Medicine
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more
2026 CMS Proposed Rule: Impacts on Emergency Medicine
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more
2026 CMS Proposed Rule: Impacts on Anesthesia
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more
2026 CMS Proposed Rule: Impacts on Radiology
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more
First Look at the CMS 2026 Physician Fee Schedule Proposed Rule
On July 14, 2025, CMS released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule. Below is a summary of the most relevant updates impacting ... Read more
3 Proven Strategies to Optimize Your Independent Anesthesia Practice
Independent anesthesia practices are navigating one of the most volatile healthcare landscapes in decades. Declining Medicare reimbursements, increasing provider shortages, and high burnout rates are ... Read more
Doc-to-Doc Series: New Legislative Impacts on Facility-Based Physicians
What You Need to Know By Jamie Shoemaker, MD, FACEP The recently introduced “One Big Beautiful Bill Act” brings sweeping changes to Medicaid, Medicare, the ACA, student ... Read more
Impact of UHC's 2025 Reimbursement Policy Update on Anesthesia
In their July 2025 Reimbursement Policy Update, United Healthcare (UHC) announced that they will implement a 15% reduction in reimbursement on Anesthesia Professional claims submitted ... Read more
Doc-to-Doc Series: Is Emergency Medicine in the US Stable? Insights from the RAND Study
By Jamie Shoemaker, MD, FACEP The RAND report is a pivotal milestone in shaping the future of Emergency Medicine, offering critical insights into the challenges, ... Read more
Picture Perfect Billing: A Fun Dive Into Ultrasound and Fluoroscopic Guidance
Accurate billing and documentation of ultrasound and fluoroscopic guidance require adherence to established guidelines. Whether the procedure is vascular or non-vascular, it is essential to ... Read more
Outsourced vs. In-House Radiology Billing Services: Finding the Right Revenue Partnership
Among even the most complicated physician specialties, Radiology tops the list for Revenue Cycle Management (RCM) complexity. High volumes are coupled with an extraordinarily complex ... Read more
Navigating New Fascial Plane Block CPT Codes in 2025
The year 2025 has brought significant changes to the pain management coding world. With the addition of CPT codes 64466-64469 and 64473-64474, providers now have ... Read more
5 Strategies for Strengthening Your Radiology Revenue Cycle Management
Every facility-based physician specialty faces specific challenges that make its revenue cycle management (RCM) unique. Radiology experiences nearly all of those challenges, plus a few ... Read more
Doc-to-Doc Series: The Impact of Forced Consolidation of Emergency Medicine Groups
By Jamie Shoemaker, MD, FACEP Healthcare is not just a profession—it is a business. And in the business of healthcare, scale matters. Independent emergency medicine ... Read more
The Path to Precision: Avoiding Concurrency in Medical Billing​
Concurrency involves the practice of documenting overlapping medical services. In the anesthesia industry, a concurrency is created when an anesthesia provider, such as an anesthesiologist, ... Read more
What’s Going on with MIPS for Radiology?
Rapid-fire regulatory changes and funding cuts at the federal level are creating uncertainty around Medicare and Medicaid reimbursement. Many clients are asking us what these ... Read more
Ventra Health Insights: AI in Radiology – Reimbursement Landscape 2025
The Challenge: From FDA Clearance to Getting Paid  At Ventra Health, we are committed to delivering cutting-edge insight into the evolving intersection of artificial intelligence ... Read more
5 Tips for Better Clinical Documentation in Hospital Medicine
By Nettie McFarland, RHIT, CCS-P, CHC, Director of Provider Education  Clinical documentation serves many purposes, supporting everything from risk management and medicolegal review to coding ... Read more
2025 MIPS for Hospital Medicine
The Centers for Medicare and Medicaid Services (CMS) recently released the final rule for the 2025 Quality Payment Program (QPP). This rule outlines the participation ... Read more
2025 MIPS for Emergency Medicine
The Centers for Medicare and Medicaid Services (CMS) recently released the final rule for the 2025 Quality Payment Program (QPP). This rule outlines the participation ... Read more
Revenue Solutions for Every Size of Anesthesia Practice
“A rigid, one-size-fits-all approach usually ends up fitting no one.” — Patrick Lencioni, The Advantage: Why Organizational Health Trumps Everything Else in Business Business consultant ... Read more