POLICY DESK / REIMBURSEMENT
Medicare payment policy
National payment updates are a starting point. Specific reimbursement depends on the service, setting, location, documentation, and applicable adjustments.
REVIEWED SEPTEMBER 23, 2026
CY 2026 / PHYSICIAN
Two conversion factors
$33.57 / $33.40Qualifying APM and nonqualifying clinicians, respectively. These are national conversion factors, not payment for an individual claim.
CMS final-rule summary ↗FY 2027 / HOSPICE
Payment-rate update
+2.3%CMS also finalized a $36,174.75 aggregate cap and changes to election-statement transparency.
CMS final-rule summary ↗FY 2027 / SKILLED NURSING
SNF PPS update
+2.4%National update; facility-specific Value-Based Purchasing adjustments are separate.
CMS final-rule summary ↗Before using a rate
Confirm the effective year and date of service, relevant codes, locality, place of service, and any quality or contractual adjustment. Use official CMS payment files and your Medicare Administrative Contractor for claim-specific questions.