Update Your Fees!
CMS issued the CY 2026 Physician Fee Schedule (PFS) This final rule announces policy changes for Medicare payments under the PFS and other Medicare Part B issues.
Office Ally Announces Fee Increase
According to Office Ally, “Effective January 1, 2026, Office Ally will update the Non-Par Claim processing fee criteria. The fee will be calculated and charged per unique Tax ID + Rendering NPI combination if any Non-Par claims are submitted within the month. This update replaces the current percentage criteria. No action is required at this time. The current percentage criteria will remain in place until December 31, 2025.”
VA Fee Schedule Released
Payer updates will be rolling out over the next few weeks. It is vital that your team take the proactive approach to billing for services rendered in the clinic. To access this post, you must purchase Library Membership | 3-Month Subscription, Library Membership | Annual Subscription, Membership Trial, Advanced Library Membership, 30 Day Library Quick Access, KMC University Rapid Solutions Membership or Rapid Solutions Student Membership.
Medicare Part B Deductible for 2026
Medicare has announced the 2026 Part B annual deductible: $283, up from $257 in 2025. We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We’d love to help you come under our umbrella of care and protection with membership. Click here to learn more.
Medicare Advantage (MA) Changes for 2026
Unlike years prior, Medicare beneficiaries will have less options when it comes to Medicare Advantage plans. Although not yet confirmed, it appears Anthem, UHC and Aetna are drastically reducing their Medicare Advantage plans. We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We’d love to help…
Regence Blue Cross Blue Shield Denials
We understand these challenges can be time-consuming. However, staying informed and engaged is the best way to ensure proper reimbursement. We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We’d love to help you come under our umbrella of care and protection with membership. Click here…