QPP and APM Payment Model in 2026
By Kevin
Understand how the 2026 QPP conversion factor changes RVU payment estimates for qualifying participants.
Covers CMS Physician Fee Schedule rule changes, conversion factor updates, and policy shifts, translated into plain explanations of what changed and who is affected.
By Kevin
Understand how the 2026 QPP conversion factor changes RVU payment estimates for qualifying participants.

Learn how CPT RVU components, GPCI locality values, and the CY 2026 dual conversion factors combine into a Medicare Physician Fee Schedule estimate.
See how CMS updates RVU data and conversion factors each year, and use the RVU calculator to trace CPT, GPCI, and CF changes into payment.

Understand how Medicare RVU-based payment differs from a payer's allowed amount, with a worked 2026 calculation and links to the RVU calculator.

Understand the 2026 Medicare conversion factors, the difference between QP and non-QP status, and how the final multiplier fits into an RVU payment estimate.
Compare the 2026 QP and non-QP Medicare payment scenarios while keeping the CPT code, setting, locality, and RVU inputs constant.