Most of it came from H.R.1, a.k.a. Public Law No: 119-21, the “One Big Beautiful Bill Act.” H.R.1 became law 7/4/2025. I previously reported final 2026 national payment amounts (NPA) for the ten services most commonly provided by psychologists, and group therapy, based on the Final Rule for the Physician Fee Schedule (PFS). The Final …

Continue reading ‘Where Did The 3.3% Increase In The 2026 Medicare Conversion Factor Come From?’ »

HCPCS 2025 National Payment Amount (NPA) 2026 Estimated NPA (7/16/2025) 2026 Final Change 2025-2026 90837 $154.29 $167.10 $167.00 8.2% 90834 $104.16 $113.97 $113.89 9.3% 90832 $78.93 $85.89 $85.84 8.8% 90791 $166.91 $173.45 $173.35 3.9% 96139 $33.64 $35.76 $35.40 5.2% 96133 $93.48 $98.26 $97.86 4.7% 96137 $35.90 $37.10 $37.07 3.3% 96132 $125.18 $122.65 $122.24 -2.3% 90785 …

Continue reading ‘2026 Final Medicare Reimbursement for Psychological Services’ »

The 2026 Proposed Rule for payment policies under the Physician Fee Schedule was published 7/16/2025, opening up a comment period until 9/12/2025. Quick review of the proposed rule shows a projected Conversion Factor (CF) of 33.4209, amounting to a 3.3% increase over the 2025 CF of 32.3465, taking into account several adjustment factors. The CF …

Continue reading ‘Initial Estimates of 2026 Medicare Reimbursement for Psychological Services’ »