What your practice should do now
1. Model your reimbursement changes.
Use your top 20 CPT codes and model how the new conversion factors and efficiency adjustments will affect revenue. CMS provides detailed tables and relative value file downloads for this purpose.
2. Reassess your telehealth workflow.
Confirm all billing locations and enrollment records match CMS requirements. If physicians work remotely, ensure proper credentialing and compliance under the new supervision rules.
3. Prepare for documentation and coding updates.
Train billing teams on new G-codes for integrated care management and ensure EHR templates align with 2026 coding changes.
4. Monitor specialty-society advocacy.
Stay connected to updates from groups like the AMA, MGMA, and your specialty association — many are urging Congress for mid-year fixes or inflationary adjustments.
5. Adjust budgets early.
Factor in the efficiency adjustment when setting 2026 budgets, especially if you rely heavily on non-time-based procedures.
