A 2027 Medicare proposal would stop paying for RPM time logged by vendor staff and cut device payments. Our handbook walks through what to do.
Blog|Articles|August 20, 2026 (Updated: August 25, 2026)
Do two things in one visit. Medicare wants to pay for 1.5
Author(s)Keith A. Reynolds
Fact checked by: Chris Mazzolini, A.C. Baltz
Medicare wants to pay half for the lesser service on same-day claims. Our new handbook works out what modifier 25 encounters stand to lose.
Advertisement
Advertisement
A dermatologist examines a patient, finds a suspicious lesion and biopsies it the same afternoon. Medicare pays for both services today. Under a proposal in the 2027 Medicare Physician Fee Schedule, one of them would pay half.
Related to this article
New CPT codes, a DEA telehealth deadline and a Dec. 31 risk analysis cutoff all run through your EHR. Here's the year-end checklist.
The CMS-0057 rule regulates health plans, not practices, but administrators are the ones who have to get the EHR and billing vendor conversations right.
UnitedHealth says No Surprises Act arbitration awards are its biggest cost pressure. What practices that use IDR should document now.
Heal 360's $20 million settlement over swabs billed as full office visits shows how scribe and template notes can expose any practice.
CMS' 2027 fee schedule proposal would pay for RPM and RTM only when practice employees do the work. Here's what practices should review now.
Only 5 percent of physicians say they have real leverage with payers. Here is what that group does before it ever sits down at the table.
From payer contract homework to a 15-minute morning huddle, these are the moves practice administrators can make after four days of sessions and interviews at MGMA's centennial meeting.
Advertisement
Advertisement