Contract Year 2026 Medicare Advantage Plan Provider Directory Data Requirements Final Rule Summary
HFMA provides a detailed summary of the final rule finalizing a previously proposed Medicare Advantage plan provider directory requirement.
FY 2026 Hospice Payment Rate Update Final Rule Summary
HFMA presents a detailed summary of the final rule updating the Medicare hospice payment rates, wage index, and Hospice Quality Reporting Program for FY 2026.
CY 2026 Physician Fee Schedule Proposed Rule Summary Part III – Quality Payment Program Updates
HFMA presents part III of three detailed summaries of the proposed rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies.
CY 2026 Proposed OPPS APC/HCPCS Lookup Tool
This spreadsheet is a tool that allows the user to pull-up basic descriptive and payment information for an APC or HCPCS code. The Proposed OPPS APC/HCPCS lookup tool spreadsheet contains the following tabs:
Comparison of Proposed 2026 OPPS Addendum B with July 2025 Addendum B
This spreadsheet compares relative weights and payment rates at the HCPCS level, using 2026 OPPS proposed rule Addendum B compared to 2025 Addendum B (July 1, 2025 file), as downloaded from the CMS website. Spreadsheet cells highlighted in yellow were calculated by HFMA; all other information is from CMS. The Addendum B spreadsheet contains these…
Comparison of Proposed 2026 OPPS Addendum A with July 2025 Addendum A
HFMA presents a spreadsheet comparing relative weights and payment rates at the APC level, using the 2026 OPPS proposed rule Addendum A compared to 2025 Addendum A.
CY 2026 OPPS/ASC Proposed Rule Summary
HFMA presents a detailed summary of the CY 2026 proposed rule updating OPPS payment policies that apply to outpatient services provided to Medicare beneficiaries and annual updates to the ambulatory surgical center payment system.
CY 2026 Physician Fee Schedule Proposed Rule Summary Part II – MSSP Requirements
HFMA presents part II of three detailed summaries of the proposed rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies.
CY 2026 Physician Fee Schedule Proposed Rule Summary – Part I
HFMA presents part I of three detailed summaries of the proposed rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies.
FY 2026 Inpatient Psychiatric Facilities PPS Proposed Rule Summary
HFMA presents a detailed summary of the FY 2026 Inpatient Psychiatric Facilities PPS proposed rule, released by CMS on April 11, 2025.