ExchangeAdministrativeLow impact
R504PR1: Provides for calendar year (CY) inflation factors to update previous years’ reasonable compensation ranges. The factor is from the cost category Professional Fees: Labor Related in the CMS Prospective Payment System Hospital Input Price Index. Th
Medicare/CMS - Transmittals·CMS Transmittal
We identified it
Aug 1, 2026
Summary
This policy document does not contain substantive billing, coding, or reimbursement changes. It is a resource guide listing CMS help desk contacts, hours of operation, and useful websites for Marketplace agents and brokers. The title references R504PR1 regarding inflation factors, but the actual policy content is missing—only support contact information is provided.
Action Required
No action required for the medical billing team. This document is a reference guide for Marketplace agents and brokers, not a clinical billing policy. If your practice needs the full R504PR1 policy text regarding compensation inflation factors, contact FFMProducer-AssisterHelpDesk@cms.hhs.gov or visit https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r504pr1 to obtain the complete policy.