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Highlights of CMS Proposed Changes to Physician Fee Schedule
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About this program
Essential Updates for Compliance, Billing, & Revenue Cycle Leaders
The Centers for Medicare & Medicaid Services (CMS) has released the Calendar Year (CY) 2027 Physician Fee Schedule Proposed Rule. Join this 60-minute webinar training for an up-to-the-minute analysis of the proposed regulations and give your team a critical head start on strategic planning, financial forecasting, and compliance mapping.
Why Learn About Proposals?
- Healthcare practices should prepare immediately. The impact of the proposed changes on practices and clinicians will vary, but the cumulative effect of annual updates, budget neutrality adjustments, and specialty-specific RVU changes could be significant.
- Protect provider reimbursement. The public comment period closes on September 14th. This session provides the exact facts you need to submit impactful public comments to CMS before the final rulemaking takes effect.
Meet the Experts
You don't have to navigate the complex CMS rulemaking alone. Healthcare practice compliance and revenue cycle management experts, Jan Hailey and Taya Gordon, will share meaningful insights on the expected impact and provide attendees with important preparation tips. Join their dynamic, interactive discussion plus gain direct answers to your complex regulatory questions during the live Q&A segment.
Key 2027 Financial & Compliance Potential Impacts We Will Cover:
- The Fate of G2211: Analyze proposed utilization adjustments and documentation criteria for the complexity add-on code.
- CY 2027 Conversion Factors: Calculate the projected impact of the updated conversion factors on your practice's bottom line.
- Remote Monitoring Shift: Navigate the strict new billing requirements and compliance guardrails for remote physiologic and therapeutic monitoring services.
- Same-Day Modifier Restrictions: Unpack how billing an Evaluation and Management (E/M) service and a procedure on the same day will be restricted or audited.
- 2027 Telehealth Flexibilities: Review which pandemic-era telehealth rules are slated for permanent adoption versus expiration.
Who Should Attend?
- Practice Managers & Administrators: Protect your cash flow by auditing next year's fee schedules and updating provider productivity models early.
- Medical Billers & Coders: Avoid immediate claim denials on January 1 by mastering shifting modifier rules and code definitions.
- Compliance Officers & Chart Auditors: Pinpoint target risk areas in your documentation to prevent costly retrospective recoupments.
About the Presenter
Taya Gordon and Jan Hailey
Shawntea Gordon, EMBA, CMPE, CMOM
Taya is a subject matter expert in healthcare compliance, organizational governance, process optimization, and revenue cycle management; a Business Analyst and Revenue Cycle SME, H4 Technology, LLC, and Owner, ITS Healthcare, LLC. She has held senior-level executive management positions in private practices, collaborative institutes, and national care coordination organizations, and now educates and consults on all areas of healthcare operations.
Teaching and consulting topics including performance improvement, quality improvement, risk reduction, and the shift to value-based payment methodologies. Taya also functions as Business Analyst and Rev Cycle SME for H4 Technology, LLC, a Data Management Software as a Service (DMSaaS) organization providing services to hundreds of providers across the nation. A proud member of the MGMA's Government Affairs Council and E/M Workgroup, Taya recently co-authored the new publication Revenue Cycle Management: Don't Get Lost in the Financial Maze.
Taya received her Executive MBA in Healthcare Management at Creighton University where she graduated Suma Cum Laude. Taya is the current President of the HIMSS Nebraska Chapter, former Chair of the Membership and Corporate Development Maryland MGMA Chapter, and was recognized in 2019 by Midland's Business Journal as a ‘40 Under 40’ Executives & Entrepreneurs Award Recipient.
Jan Hailey, MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.