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2027 Medicare and Insurance Changes and Compliance

2027 Medicare and Insurance Changes and Compliance

Platinum Book and Digital Copy

The 2027 coding year begins October 1, 2026. Is your practice ready?

Many practices think annual coding changes begin in January. However, the 2027 ICD-10-CM codes become effective October 1, 2026.

Waiting until the end of the year could leave your practice using outdated codes, submitting avoidable denials and correcting billing problems after claims have already been affected.


Our 2027 Medicare and Insurance Changes and Compliance Platinum Book brings the Medicare, commercial insurance, coding, billing and compliance information your practice needs into one practical resource.


YOUR DIGITAL COPY INCLUDES THE 2027 ICD-10-CM CODES

No separate ICD-10 code book is needed.

The complete FY 2027 ICD-10-CM code information is included with the digital copy, providing your team with convenient electronic access while eliminating the additional expense of purchasing a separate ICD-10 book.

✓ Save the cost of another coding book✓ Access the ICD-10-CM information electronically✓ Prepare before the October 1 effective date✓ Keep coding and compliance information together✓ Reduce time spent searching multiple resources


WHAT’S INSIDE

CODING AND MEDICARE

FY 2027 ICD-10-CM changes effective October 1, 2026• FY 2027 ICD-10-CM codes included digitally• Released 2027 CPT changes and implementation considerations• CY 2027 Medicare Physician Fee Schedule planning information• Medicare and Medicare Advantage developments• Telehealth updates• Quality Payment Program information• Therapy and KX modifier guidance

INSURANCE AND COMPLIANCE

• Commercial insurance developments• Medicaid managed care and Marketplace changes• Prior authorization requirements• Interoperability developments• Claims, denials and appeals guidance• Contract and fee-schedule concerns• Documentation requirements• Audit readiness• Fraud-and-abuse awareness


COMPLIANCE IS MORE THAN KNOWING THAT A RULE CHANGED

Maintaining compliance means implementing each change correctly and on time.

Your practice may need to update: • Code sets• Charge-entry systems• Claim edits• Fee schedules• Payer matrices• Prior authorization procedures• Documentation standards• Internal policies• Staff education• Audit procedures• Denial workflows• Compliance monitoring


Using outdated codes or overlooking payer-specific requirements can become expensive.

Potential consequences include: • Claim denialsDelayed reimbursementLost revenueRepayment demandsAudit exposureCompliance violations


WHO SHOULD HAVE THIS BOOK?

• Physicians and healthcare providers• Medical practices and clinics• Healthcare organizations• Medical billing companies• Billers and coders• Practice managers• Revenue-cycle professionals• Compliance officers and consultants• Healthcare educators and trainers


WHY YOU NEED IT NOW

The FY 2027 ICD-10-CM codes apply to services provided from October 1, 2026 through September 30, 2027.Your coding, billing and documentation systems should be updated before the first affected claim is submitted. Do not let October 1 catch your practice unprepared. Give your team one comprehensive resource for the Medicare, insurance, coding and compliance changes that may affect reimbursement in 2027.


ORDER YOUR 2027 PLATINUM BOOK TODAY

 

    $217.00Price
    Quantity

    Address

    7373 University Avenue, Suite 210
    La Mesa, CA 91942

    Contact

    Phone (800) 669-3328

    Fax (619) 644-5916

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