Medicare’s 2026 Physician Fee Schedule introduces a major change: two separate conversion factors for qualifying APM participants and non-qualifying providers. This update impacts reimbursement calculations, APM incentive payments, and revenue planning, making it essential for providers to understand what’s changing and how to prepare.

Medicare’s WISeR pilot adds prior authorization requirements in six states starting in 2026. Learn how these changes impact providers, patients, and documentation.

The OIG’s new audit toolkit targets unsupported or inaccurate HCC coding. Learn how to strengthen documentation using MEAT criteria, align diagnoses with treatment, and prevent audit findings that can impact compliance and reimbursement.