What Is the CY2026 Efficiency Adjustment and How Does It Impact Internal Medicine Billing?

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The CY2026 Efficiency Adjustment is one of the important changes introduced under the 2026 Medicare Physician Fee Schedule. Effective January 1, 2026, CMS finalized a 2.5% reduction to the work RVUs of most non-time-based services . However, the adjustment does not apply broadly to every service billed by an internal medicine practice. Time-based services, including many evaluation and management (E/M) and care management services, are excluded. For internal medicine practices, understanding which services are affected is important because the adjustment can change reimbursement for certain procedures and ancillary services even when claims continue to process normally. For a detailed overview, practices can review What Is the CY2026 Efficiency Adjustment and How Does It Impact Internal Medicine Billing? . What Is the CY2026 Efficiency Adjustment? CMS finalized the efficiency adjustment as part of the CY2026 Physician Fee Schedule. The policy applies a -2.5% adjustment to the work comp...
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Everything You Need To Know About Podiatry Billing Services Guidelines

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Podiatry is one of the medical specialties, which concentrates on the diagnosis and treatment of the human feet and ankles. Podiatrists care about different conditions related to the foot such as heel spurs, toenails, fallen arches, foot/ankle injuries, and plantar fasciitis. Services offered by podiatrists should be paid for by either insurance companies or the patients or by both. Podiatry billing services are a very critical part of many practices.

As far as podiatry billing services are concerned, it is able to collect money efficiently from payers that are accountable for covering the services offered by podiatrists and patients. There are some services, which are not covered by payers, especially those which are not considered medically needed for appropriate foot care as per the Medicare Benefit Policy Manual (MBPM).

Below we Mentioned the Services which are Covered by Payers:

An exception to podiatry services covered

There are specific foot care services that are not covered by Medicare, and there are chances to be covered under general third-party insurance. If you avail of some sort of foot care services that fall into this category then it is a waste of time to hassle with your insurance company for reimbursement. Which are those services?

To know more about Podiatry Billing Services Guidelines click here: http://bit.ly/3Z5eHnU Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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