HAP Radiology Billing and Coding Blog

What Are We Watching in 2026? on January 9, 2026

The Medicare Physician Fee Schedule (MPFS) Final Rule for 2026

The MPFS Final Rule was mostly unchanged from what was proposed a few months earlier. The conversion factors for 2026 Medicare reimbursement were proposed to be an increase of 3.3% to 3.8%, and the final figures came within that range but slightly lower by fractions. Payments for 2026 will depend on whether the physician is considered to be a Qualified Professional (QP) or a lower-paid non-QP based on their participation in an Advanced Payment Model (APM). The Efficiency adjustment and the Site of Service adjustment were finalized. The latter will not negatively impact hospital-based diagnostic radiologists, but it could favor non-facility (offices or OBL) services.

Categories: MPFS, radiology, 2026 payment impact

Subscribe to our radiology billing and coding blog

Recent Posts

Testimonial

How a radiology practice recovered lost referrals