Is Your Billing Company Ready for the 2026 Medicare Fee Schedule?

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The 2026 Medicare Fee Schedule brings new reimbursement updates, coding changes, compliance requirements, and documentation expectations that can significantly affect physician practices across every specialty. Whether you operate a primary care clinic, internal medicine practice, OBGYN office, neurology group, ambulatory surgery center (ASC), or hospital-based practice, your billing company plays a critical role in helping you adapt to these changes. Many practices assume their billing partner will automatically implement new Medicare policies, but that isn't always the case. Delayed coding updates, inaccurate reimbursement calculations, poor denial management, and weak compliance monitoring can lead to underpayments, claim denials, growing accounts receivable (AR), and unnecessary revenue loss. As healthcare reimbursement becomes increasingly complex, practices need more than basic claim submission. They need experienced medical billing services , proactive RCM services , and st...

Declaration of Blanket Waivers for SNFs

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On 7th April 2022, in response to the COVID-19 PHE and under section 1135 of the Social Security Act, CMS passed several temporary emergency declaration blanket waivers which were intended to provide health care providers with extra flexibilities required to respond to the COVID-19 pandemic. While the waivers of regulatory requirements have provided flexibility in how nursing homes may operate, they have also removed the minimum standards for quality that help ensure residents’ health and safety are protected. 

Declaration of Blanket Waivers

Recently, CMS conducted some surveys that revealed significant concerns with resident care that are unrelated to infection control (e.g., abuse, weight loss, depression, pressure ulcers, etc.). Waiver of certain regulatory requirements may have contributed to these outcomes and raised the risk of other issues. For example, by waiving requirements for training, nurse aides and paid feeding assistants may not have received the necessary training to help identify and prevent weight loss. Similarly, CMS waived requirements for physicians and practitioners to perform in-person assessments, which may have prevented these individuals from performing an accurate assessment of the resident’s clinical needs, contributing to depression or pressure ulcers. As a result, CMS has terminated certain waivers.

In this blog, Our Medical Billers and Coders shared emergency declaration blanket waivers for certain providers in SNFs. Looking for more information about Declaration of Blanket Waivers for SNFs click here: https://bit.ly/3xJKyyU. also you can get in touch with us at info@medicalbillersandcoders.com or call us at 888-357-3226.


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