Part B News 2026 Predictions Survey

Cast your predictions for 2026!

A flurry of payment and policy changes are coming in 2026, from significant place of service (POS) pay disparities to revamped incident-to billing rules and much more.

How will your practice react to the changes in the new year? Take the Part B News 2026 Predictions Survey and let us know about the changes, challenges and opportunities you’re facing.

Note: All respondents will receive a complimentary E/M Quick Reference Card.

Question Title

* 1. The 2026 Part B conversion factor is set to increase by up to 3.8%. How do you plan to respond? (Check all that apply.)

We will add staff hours

We will hire administrative and front-office staff

We will hire more qualified health care professionals (QHP)

We will hire more physicians

We will increase collections efforts

We will purchase new equipment/software

We will increase training and education for staff

We will not make any changes

Other (please specify)

Question Title

* 2. Which new or revised E/M and E/M-adjacent services do you plan to report in 2026? (Check all that apply.)

Remote physiologic monitoring codes including new codes for shorter time periods (99445, 99470)

Revised add-on visit complexity code G2211 with home/residence services (99341-99345, 99347-99350) in addition to office/outpatient encounters

Revised code G0136, which will be revised to assess nutrition and physical activity instead of social determinants of health risks

Other (for example, new psychiatric/behavioral add-on codes for advanced primary care or remote therapeutic monitoring services)

Question Title

* 3. Which new procedures do you plan to perform and report in 2026? (Check all that apply)

Limb-lengthening implant device codes (27458, 27113)

Revascularization procedures codes (37254-37299)

Other (please specify)

Question Title

* 4. Medicare claims figures show that practices reported add-on visit complexity code G2211 more than 26 million times in the code’s first active year in 2024. What percentage of E/M office visits did you report G2211 with in CY 2025?

1%-20%

21%-40%

41%-60%

61%-80%

81%-100%

None

Question Title

* 5. Do you use artificial intelligence (AI) in your practice? Please check all that apply.

At the front desk/admin

In billing

In coding/coding analysis

In scribing medical notes

In image analysis/cataloguing

In labs

In physician diagnosis

Not at all

Other (please specify)

Question Title

* 6. A provider’s 2026 conversion factors will be based on whether the provider participated in a qualifying alternative payment model (APM) in 2024. Which conversion factor will your providers receive next year?

The conversion factor for providers who participated in a qualifying APM in 2024

The conversion factor for providers who did not participate in a qualifying APM in 2024

Other (please specify)

Question Title

* 7. In 2026, CMS will implement an “efficiency adjustment” that reduces the work relative value units (wRVU) for all physician fee schedule services except: E/M encounters, time-based services, telehealth services and services that are new in 2026. How do you think this will impact your practice? (Check all that apply.)

We will no longer base provider salaries on work RVUs

We will move to a work RVU-based salary model for our providers

We will see lower revenue from Medicare

We will see lower revenue from commercial payers

It will not impact our revenue from Medicare

It will impact our revenue from commercial payers

Other (please specify)

Question Title

* 8. What percentage of Medicare Part B services do your providers perform in the facility setting (hospital, ambulatory surgical center, nursing facility, etc)?

None

1-20%

21-40%

41-60%

61-80%

81-100%

Question Title

* 9. In 2026, Medicare will expand its temporary virtual direct supervision exception and make it a permanent rule. Supervising physicians and QHPs will be able to meet the "immediately available" requirement through a real-time, two-way audio and video connection for procedures that don’t have global surgery indicators of 010 or 090. How will your practice respond?

My practice currently uses virtual direct supervision under the existing waiver and will implement the new, permanent rule

My practice will implement virtual direct supervision for incident-to services for the first time

We need more information from CMS before we decide

We need to have internal discussions about compliance risks and practicality before we decide

Other (please specify)

Question Title

* 10. The telehealth waivers that expired Oct. 1, 2025, have been reinstated until Jan. 30, 2026. How will your practice respond?

We will allow telehealth services for all Medicare patients.

We will only allow telehealth services if a patient requests it.

Each provider will decide whether they offer telehealth services.

We will allow telehealth services for infection control (provider or patient has symptoms and can’t reschedule).

We will not make any changes. Our patients qualify for telehealth services under “normal” telehealth rules.

We will not make any changes. Our practice does not allow telehealth services.

We need more information from CMS before we decide.

We need to have internal discussion before we decide.

Other (please specify)

Question Title

* 11. Please share the biggest challenges that you anticipate facing your medical group in 2026. (Select your top 3 answers.)

Adding new services

Audits

Competition from other health care providers (local, online)

Finding new revenue sources

Following laws that impact clinical care

Handling denials

Hiring and retaining administrative or managerial staff

Hiring and retaining physicians, QHPs and/or clinical staff

Implementing new payer policies

Independent dispute resolution

Negotiating with private payers

Patient concerns about treatment safety (vaccinations, acetaminophen, etc.)

Patients losing insurance

Payment cuts

Prior authorization requests

Providing telehealth

Maintaining revenue

Medical liability

MIPS, HEDIS or other quality programs

Preventing/reducing administrative staff burnout

Preventing/reducing clinician burnout

Other (please specify)

Question Title

* 12. What area will represent the greatest compliance risk to practices in 2026? (Select your top 3 answers.)

Audits/medical reviews

Business arrangements

Claims

Controlled substance prescriptions

Coverage policies

Employment

Enrollment

Malpractice

No Surprises billing

Privacy/security

Quality

Workplace safety

Other (please specify)

Question Title

* 13. What other predictions do you have for physician practices or the health care industry in 2026? Or what would you like to see happen in 2026?

Question Title

* 14. Please state your specialty:

Anesthesiology

Cardiology

Dermatology

Endocrinology

Gastroenterology

General surgery

Multispecialty

Neurology

Pain management

Ob/gyn

Ophthalmology

Otolaryngology

Orthopedic surgery

Pediatric

Primary care (includes family practice, general practice, internal medicine)

Urology

Other (please specify)

Question Title

* 15. How many physicians and non-physician practitioners are in your practice?

2-5

6-10

11-49

50-99

100-199

200+

Question Title

* 16. Please share your contact information below, including your email address to receive a complimentary E/M Quick Reference Card. (Note: A Part B News editor may contact you to follow up on your survey responses. However, all survey responses will remain confidential.)

Name

Company

Title

City

State

Email address

Phone number