Comment on CMS-2026-2377-0002

Re: CMS-1848-P — CY 2027 Medicare Physician Fee Schedule Proposed Rule I am an RN, BSN with 22 years of experience working in direct patient care. I am submitting this comment on the proposed rule above. I have spent my career keeping people safe from things that never ended up happening. None of that shows up anywhere. I would like it counted. Before Medicare pays for AI in patient care, please make sure someone has checked that it is safe. At the bedside we are the ones who catch it when a tool gets something wrong. If new technology saves money, please do not let that money come out of nurse staffing. Fewer nurses is not a safer hospital. Please make sure these tools are tested on patients like mine before Medicare pays for them. Here is some of what my direct care has meant, in terms Medicare already measures. Under nurse-sensitive failure-to-rescue measures: several patients rescued because nursing intuition caught what the numbers had not yet shown. Under the Hospital Readmissions Reduction Program: hundreds of patients taught well enough to stay out of the hospital. This is harm prevented before it happened: nursing assessment, judgment and intuition applied reliably, to every patient. Medicare measures and pays for these outcomes, yet the nursing work behind them is bundled into room-and-board or other clinicians' billing — invisible in claims data, ineligible for reimbursement, and absent from the quality metrics these programs use. I ask CMS to fix this misalignment and to build codes that let nursing work be seen, counted, and reimbursed. Thank you for considering these comments. Sincerely, Anna Bazil, RN, BSN Direct patient care