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Medicare and Compliance Changes


Essential Updates for Compliance, Billing, & Revenue Cycle Leaders

The Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2027 Physician Fee Schedule Proposed Rule in July and the Final Rule will be released in November. This course provides an up-to-the-minute analysis of the regulations that CMS finalizes after consideration of public comments. Updates to payment policies and quality-related provisions for physician services furnished under the Medicare Part B Physician Fee Schedule will be addressed.

Learn the latest provider reimbursement and reporting requirements

You don't have to navigate the complex CMS rulemaking alone. PMI's healthcare practice compliance and revenue cycle management experts will share meaningful insights on the impact of the final rule for 2027. Attend this session to gain direct answers to your complex regulatory questions and receive important tips.

Key 2027 Financial & Compliance Impacts We Will Cover:

  • The Fate of G2211: Analyze 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.
  • OIG Work Plan: Highlights of the latest OIG audit and evaluation projects affecting healthcare providers.

Give your team a critical head start on strategic planning, financial forecasting, and compliance mapping for 2027.

Full Schedule


Program times are Central unless otherwise noted.

Session Date Time Instructor
1 December 16, 2026 11:00 am - 2:00 pm Jan Hailey

Fee: $239.00


CEUs:

  • PMI — 3

Healthcare practices must be prepared. The impact of the regulatory 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. The latest details on the Quality Payment Program (QPP) and recently added active items on the OIG Work Plan will also be covered in this course.

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.

Live, Interactive Learning and Helpful Resources

Get your questions answered in real time in PMI's live virtual classroom. Registration includes digital companion materials with helpful links to serve as a resource beyond the classroom.

Register today to stay informed, compliant, and ready

Course content assumes knowledge of outpatient coding and reimbursement. A meeting link to the class will be provided by email a few days prior to the event.