{"id":3593,"date":"2026-11-08T21:07:36","date_gmt":"2026-11-08T21:07:36","guid":{"rendered":"https:\/\/www.theredwing.news\/?p=3593"},"modified":"2026-11-08T21:07:36","modified_gmt":"2026-11-08T21:07:36","slug":"medicare-physician-fee-schedule-2027-conversion-factors","status":"publish","type":"post","link":"https:\/\/www.theredwing.news\/index.php\/2026\/11\/08\/medicare-physician-fee-schedule-2027-conversion-factors\/","title":{"rendered":"Medicare\u2019s physician payment benchmarks will fall in 2027"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Medicare\u2019s benchmark for paying physicians and other clinicians will fall in 2027 under a <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/calendar-year-cy-2027-medicare-physician-fee-schedule-final-rule\">final rule issued by the Centers for Medicare &amp; Medicaid Services<\/a>. A temporary increase Congress provided for 2026 is expiring, and the smaller updates that apply for 2027 do not fully offset it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Two benchmarks will decline<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CMS set the 2027 conversion factor at $32.95 for clinicians who qualify through an advanced alternative payment model, down from $33.57. For other clinicians, it falls to $32.63 from $33.40. CMS calculates the declines at 1.83% and 2.31%, respectively. The agency attributes part of the change to the expiration of a one-year 2.5% increase, with other statutory updates and a separate adjustment also reflected in the final figures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The conversion factor is one input in the fee schedule. Medicare applies it to values assigned to individual services, so the change in that factor alone does not tell a practice what it will receive for a particular visit or procedure. CMS also finalized changes to the way it assigns indirect practice expenses to services. Those adjustments can affect how payments vary across services and specialties.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When the changes take effect<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CMS put the rule on public inspection Nov. 4 and lists Nov. 9 as its Federal Register publication date. The agency says the policies take effect on or after Jan. 1, 2027. The <a href=\"https:\/\/www.cms.gov\/medicare\/payment\/fee-schedules\/physician\/federal-regulation-notices\/cms-1848-f\">CMS rule page<\/a> includes the final addenda and supporting files for comparing individual billing codes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This schedule covers services billed by physicians and other professionals. It is separate from the <a href=\"https:\/\/www.theredwing.news\/index.php\/2026\/11\/07\/medicare-outpatient-payments-final-rule-2027\/\">2027 rule for hospital outpatient departments and ambulatory surgery centers<\/a>, which sets payment policies for those facilities.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medicare\u2019s benchmark for paying physicians and other clinicians will fall in 2027 under a final rule issued by the Centers for Medicare &amp; Medicaid Services. A temporary increase Congress provided for 2026 is expiring, and the smaller updates that apply for 2027 do not fully offset it. Two benchmarks will decline CMS set the 2027 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3594,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[21],"tags":[],"class_list":["post-3593","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.2 (Yoast SEO v28.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medicare\u2019s physician payment benchmarks will fall in 2027 - The Red Wing News<\/title>\n<meta name=\"description\" content=\"Medicare\u2019s 2027 physician payment benchmarks will decline as a temporary increase expires. 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