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Medicare PAR status determines whether you accept assignment on every claim or decide case by case -- and changing it only happens on CMS's schedule, not yours. This guide breaks down PAR vs. Non-PAR vs. opt-out, the CMS-460 process, the annual election timeline, and a practical checklist for changing status in 2026 and beyond.

2026 is the first year Medicare pays two different conversion factors depending on Advanced APM participation. This guide breaks down what Advanced APMs actually are, how QP status changes urology reimbursement, where the real financial risk sits, and what a practice's revenue cycle needs to look like to stay ready either way.