CMS has released its proposed 2026 Medicare physician payment rule, and for GI, it’s a mixed bag. While the conversion factor is set to increase and telehealth flexibilities like direct supervision will continue, the proposal also introduces an “efficiency adjustment” that cuts work and practice expense RVUs for GI procedures—potentially lowering reimbursements for hospital- and ASC-based services. GI societies including AGA, ACG, and ASGE are reviewing the details and will release a full analysis soon.
CMS’ physician payment proposal is a mixed bag for GI (AGA)
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