2027 Medicare Physician Fee Schedule Final Rule: Key Payment Updates for Physicians and Other Practitioners

The CY 2027 Medicare Physician Fee Schedule Final Rule changes how Medicare pays for a range of Part B services. This practical session will explain key updates affecting physician and practitioner payment, same-day evaluation and management (E/M) visits and procedures, E/M complexity add-on billing, remote monitoring, and selected quality and accountable care requirements.

We’ll review the rule’s operational implications for coding, documentation, claims workflows, and practice planning. Attendees will leave with a clearer understanding of which changes may require attention before they take effect and where to focus staff education and billing-system updates.

Webinar Objectives

By the end of this session, participants will be able to:

• Summarize selected payment and policy changes in the CY 2027 PFS Final Rule.
• Explain the finalized same-day payment policy for office/outpatient E/M visits and 0-day global procedures.
• Describe the finalized B1 and B2 modifier policies and identify the practitioners to whom B2 applies.
• Identify the finalized RPM and RTM requirements and their implementation timing.
• Recognize operational areas that may need review, including documentation, claims edits, workflows, and staff education.

CMS finalized the RPM/RTM initiating-visit and RTM established-patient policies for 2027, while delaying the employed-clinical-staff requirement until 2029. The rule also includes changes to quality reporting and the Shared Savings Program.

Webinar Agenda

• Overview of the CY 2027 Medicare PFS Final Rule
• Payment updates and potential practice implications
• Same-day E/M visits and 0-day global procedures
• G2211, modifiers B1 and B2, and billing considerations
• RPM and RTM policy changes
• Selected MIPS, MVP, and Shared Savings Program updates
• Practical implementation priorities and Q&A

Webinar Highlights

• Payment updates: Review the CY 2027 PFS conversion-factor updates and what the projected changes may mean for physician and practitioner payment. Individual impacts will vary by service and practice.
• Same-day E/M and procedures: Understand the finalized payment adjustment when a separately identifiable office/outpatient E/M visit is billed on the same day as a 0-day global procedure.
• E/M complexity billing: Review the transition of G2211 to modifier B1, including the finalized payment approach, and the new B2 modifier for eligible ACO practitioners.
• Remote monitoring: Discuss the finalized RPM and RTM requirements, including the initiating visit, RTM established-patient policy, and the delayed effective date for the employed-clinical-staff requirement.
• Quality reporting and ACO policies: Review selected changes affecting MIPS and MVP reporting, the Shared Savings Program, and accountable care operations.
• Implementation planning: Identify areas to check in documentation, charge capture, billing edits, staff education, and practice workflows.

CMS finalized a change that reduces payment for the other service when a separately identifiable office/outpatient E/M visit is billed with a 0-day global procedure on the same day. It also finalized modifier B1 for G2211 and modifier B2 for qualifying ACO practitioners.

Who Should Attend