2027 Medicare and Insurance Fundamentals Gold Book & Digital Copy

Run the business side of your practice with greater confidence.

Insurance billing involves more than submitting a claim. Your team must verify coverage, coordinate benefits, manage authorizations, negotiate reimbursement, collect patient balances, and respond when a payer denies or delays payment.

The 2027 Medicare and Insurance Fundamentals Gold Book puts practical guidance for these everyday challenges in one place. You’ll receive a spiral-bound printed book and a digital copy, along with sample forms, templates, and documents you can adapt to your practice.

What you’ll learn

• Coordination of benefits: Determine payer order and reduce avoidable claim problems.

• Contracts and fee schedule negotiations: Review reimbursement terms, prepare for negotiations, and identify opportunities to improve your fee schedule.

• Prior authorizations: Use the dedicated chapter to build a process for requests, documentation, tracking, renewals, and follow-up.

• Denials and appeals: Take a more organized approach when claims are rejected, denied, or underpaid.

• Prompt payment: Understand state prompt payment requirements and how to address delays.

• Overpayments and recoupments: Review repayment issues and applicable state limitations.

• Patient financial policies: Communicate responsibility clearly and strengthen collections.

• Discounts, write-offs, and balance billing: Understand how these decisions affect reimbursement and patient accounts.

Practical tools for your office

The Gold Book includes guidance and adaptable materials for financial hardship policies, noncovered services, patient collections, insurance complaints, narrative reports, and practice promotion. Keep it nearby for staff training, billing questions, and day-to-day decisions.

Who is it for?

The Gold Book is designed for healthcare providers, practice owners, managers, medical billers, coders, and revenue cycle teams who want a stronger foundation in Medicare and insurance operations.

Give your team a resource they can use throughout the year. Order the 2027 Medicare and Insurance Fundamentals Gold Book & Digital Copy today.

Select your digital-copy option before adding the product to your cart.