11/21/2025
The House passed the Senate-approved bill to end the government shutdown and extend critical Medicare coverage policies as many know.
How does it pertain to my industry of RCM (Revenue Cycle Management):
1. Medicare Cuts Eliminated ➜ The One Big Beautiful Bill Act’s 4% Medicare PAYGO cuts are permanently removed.
2. Medicare Coverage Extensions (retroactive to Oct 1):
🩺 Telehealth Flexibilities (COVID-era provisions continue)
💼 1.0 Work GPCI Floor
🚑 Ambulance Super Rural Bonus
📌 CMS to issue guidance on claim reprocessing soon
For RCM teams, this offers immediate clarity especially around telehealth billing, ambulance services, and GPCI region adjustments.
PS. GPCI stands for Geographic Practice Cost Index. It’s part of the formula Medicare uses to calculate how much to reimburse physicians for their services. In case acronymns have a hard time sticking in your brain like us sometimes;)
Call now to connect with business.