2027 Telehealth & Prior Authorization Updates: Reduce Claim Denials, Prevent Payment Delays & Protect Reimbursement

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Webinar Description

Session 1 –  2027 Telehealth Updates

Live Date: November 3, 2026

Duration: 60 Mins

Time: 1:00 pm ET

Medicare telehealth policy continues to evolve rapidly, creating both opportunities and compliance challenges for healthcare organizations. The CY 2026 Medicare Physician Fee Schedule Final Rule includes significant telehealth updates that affect providers, coding professionals, billing departments, compliance teams, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and organizations seeking to expand virtual care services. Healthcare professionals must understand which telehealth flexibilities have been finalized, which requirements remain in effect, and how these changes impact reimbursement, documentation, supervision, and operational workflows.

This webinar provides a comprehensive review of Medicare’s current telehealth framework under the CY 2026 Final Rule, including additions to the Medicare Telehealth Services List, changes to CMS’s telehealth service evaluation process, audio-only telehealth considerations, behavioral health updates, and virtual supervision policies. Attendees will learn how CMS has simplified the process for telehealth service approvals and permanently removed frequency limitations for certain inpatient, nursing facility, and critical care telehealth visits. The session will also address practical compliance considerations, coding updates, documentation requirements, and reimbursement implications that affect day-to-day operations.

In addition, the webinar will examine the CY 2027 Medicare Physician Fee Schedule Proposed Rule and its potential impact on healthcare organizations. Proposed changes include additional telehealth codes and modifiers, expansion of teaching physician virtual presence policies, updates affecting RHCs and FQHCs, and further telehealth flexibilities under consideration by CMS. Participants will gain insight into what has been finalized versus what remains proposed, helping organizations prepare strategically for future regulatory developments.

Session 2 – Prior Authorization, Eligibility & Medical Necessity 2027 Updates

Live Date: December 8, 2026

Duration: 60 Mins

Time: 1:00 pm ET

There are several parts of seeing a patient and receiving payment for professional services.  Eligibility ensures that the patient’s insurance coverage is active on the date of service that the services will be rendered and that their plan covers the services planned.  There are different methods of receiving eligibility information and we are going to discuss these.  Once eligibility is verified, certain procedures require the provider to contact the insurance company to receive prior authorization.  Unfortunately, every insurance company has different requirements, making it difficult to manage.  It is important that offices keep track of the current policies for the insurance companies they work with the most, and ensure these authorizations are performed prior to the service being performed.  Medical necessity is normally reported by  the ICD-10-CM codes.  These codes justify why a procedure or service is performed based on the patient’s condition.  The insurance companies may have policies that define the services they consider medically necessary based on the diagnosis.  If the information on the claim does not meet their guidelines, the claim will be denied

Webinar Objectives

Session 1 –  2027 Telehealth Updates

Telehealth regulations, coding requirements, and reimbursement policies continue to change as CMS refines Medicare’s virtual care framework. Healthcare organizations need clear guidance regarding which telehealth flexibilities remain available, what new services may be billed, and how future policy proposals could affect operations and revenue.

This webinar will provide attendees with a practical understanding of Medicare’s finalized 2026 telehealth requirements and proposed 2027 changes. Participants will learn strategies to maintain compliance, optimize reimbursement opportunities, improve telehealth program effectiveness, and prepare for anticipated regulatory developments.

Session 2 – Prior Authorization, Eligibility & Medical Necessity 2027 Updates

  • Understand prior-authorization and how it is different from eligibility and medical necessity
  • Know what will be needed to obtain prior-authorization
  • Recognize the policy variations between insurance carriers
  • Learn the new prior-authorization requirements of  Medicare

Webinar Highlights

Session 1 –  2027 Telehealth Updates

  • Understanding Medicare telehealth rules finalized for 2026
  • New services added to the Medicare Telehealth Services List
  • CMS’s streamlined process for telehealth service approvals
  • Permanent removal of frequency limitations for select telehealth visits
  • Audio-only telehealth compliance and reimbursement considerations
  • Virtual supervision opportunities and limitations
  • Behavioral health telehealth updates
  • Telehealth changes impacting RHCs and FQHCs
  • Proposed 2027 telehealth codes, modifiers, and policy expansions
  • Teaching physician virtual presence proposals
  • Documentation and billing strategies to support compliance
  • Operational planning for future Medicare telehealth regulations

 

Session 2 – Prior Authorization, Eligibility & Medical Necessity 2027 Updates

In order for providers to receive reimbursement for professional services the insurance company must receive a clean claim.  Part of creating a clean claim is verifying the patient has coverage, obtaining prior-authorization if necessary, and ensuring that the patient’s condition meets the medical necessity described by the insurance.  Attendees will gain knowledge about these issues and understand the processes necessary to streamline this into workflow for efficiency.

Webinar Agenda

Session 1 –  2027 Telehealth Updates

  • Overview of Medicare Telehealth Policy Evolution
  • CY 2026 Medicare Physician Fee Schedule Final Rule
  • Medicare Telehealth Services List Updates
  • Newly Approved Telehealth Services for 2026
  • Audio-Only Telehealth Requirements and Limitations
  • Removal of Telehealth Frequency Restrictions
  • Virtual Supervision and Workforce Flexibilities
  • Behavioral Health and Telehealth Services
  • Telehealth Considerations for RHCs and FQHCs
  • Documentation, Coding, and Billing Compliance
  • CY 2027 Physician Fee Schedule Proposed Rule
  • Proposed Telehealth Expansions, Codes, and Modifiers
  • Teaching Physician Virtual Presence Proposals
  • Preparing for Future Medicare Telehealth Changes
  • Questions and Answers

 

Session 2 – Prior Authorization, Eligibility & Medical Necessity 2027 Updates

  • The information that should be obtained when verifying eligibility
  •  Methods available to obtain eligibility efficiently
  •  Information needed for services to be approved for prior authorization
  •  Tips for dealing with changes that occur in the procedures after they   occur
  •  Major insurance company information to understand specific prior-authorization processes
  •  Finding medical necessity policies for the major insurance companies
  •  Writing an appeal when a claim is denied improperly

Who Should Attend?

  • Billers
  • Coders
  • Administrators
  • Collector
  • Supervisors
  • Claims adjusters
  • Reimbursement specialist
  • Providers-Physicians, therapists, Non Physician Providers
  • Surgery Schedulers
  • Prior authorization staff
  • Healthcare compliance officers
  • Physicians
  • Non-physician practitioners
  • Practice administrators
  • Revenue cycle directors
  • Coding professionals
  • Billing managers
  • Telehealth program managers
  • RHC and FQHC leaders
  • Reimbursement specialists
  • Consultants, and healthcare attorneys involved in Medicare telehealth services

Session 1 –  2027 Telehealth Updates

 

  • Understanding Medicare telehealth rules finalized for 2026
  • New services added to the Medicare Telehealth Services List
  • CMS’s streamlined process for telehealth service approvals
  • Permanent removal of frequency limitations for select telehealth visits
  • Audio-only telehealth compliance and reimbursement considerations
  • Virtual supervision opportunities and limitations
  • Behavioral health telehealth updates
  • Telehealth changes impacting RHCs and FQHCs
  • Proposed 2027 telehealth codes, modifiers, and policy expansions
  • Teaching physician virtual presence proposals
  • Documentation and billing strategies to support compliance
  • Operational planning for future Medicare telehealth regulations

 

Session 2 – Prior Authorization, Eligibility & Medical Necessity 2027 Updates

In order for providers to receive reimbursement for professional services the insurance company must receive a clean claim.  Part of creating a clean claim is verifying the patient has coverage, obtaining prior-authorization if necessary, and ensuring that the patient’s condition meets the medical necessity described by the insurance.  Attendees will gain knowledge about these issues and understand the processes necessary to streamline this into workflow for efficiency.

Session 1 –  2027 Telehealth Updates

  • Overview of Medicare Telehealth Policy Evolution
  • CY 2026 Medicare Physician Fee Schedule Final Rule
  • Medicare Telehealth Services List Updates
  • Newly Approved Telehealth Services for 2026
  • Audio-Only Telehealth Requirements and Limitations
  • Removal of Telehealth Frequency Restrictions
  • Virtual Supervision and Workforce Flexibilities
  • Behavioral Health and Telehealth Services
  • Telehealth Considerations for RHCs and FQHCs
  • Documentation, Coding, and Billing Compliance
  • CY 2027 Physician Fee Schedule Proposed Rule
  • Proposed Telehealth Expansions, Codes, and Modifiers
  • Teaching Physician Virtual Presence Proposals
  • Preparing for Future Medicare Telehealth Changes
  • Questions and Answers

 

Session 2 – Prior Authorization, Eligibility & Medical Necessity 2027 Updates

  • The information that should be obtained when verifying eligibility
  •  Methods available to obtain eligibility efficiently
  •  Information needed for services to be approved for prior authorization
  •  Tips for dealing with changes that occur in the procedures after they   occur
  •  Major insurance company information to understand specific prior-authorization processes
  •  Finding medical necessity policies for the major insurance companies
  •  Writing an appeal when a claim is denied improperly

Session 1 –  2027 Telehealth Updates

Telehealth regulations, coding requirements, and reimbursement policies continue to change as CMS refines Medicare’s virtual care framework. Healthcare organizations need clear guidance regarding which telehealth flexibilities remain available, what new services may be billed, and how future policy proposals could affect operations and revenue.

This webinar will provide attendees with a practical understanding of Medicare’s finalized 2026 telehealth requirements and proposed 2027 changes. Participants will learn strategies to maintain compliance, optimize reimbursement opportunities, improve telehealth program effectiveness, and prepare for anticipated regulatory developments.

Session 2 – Prior Authorization, Eligibility & Medical Necessity 2027 Updates

  • Understand prior-authorization and how it is different from eligibility and medical necessity
  • Know what will be needed to obtain prior-authorization
  • Recognize the policy variations between insurance carriers
  • Learn the new prior-authorization requirements of  Medicare

Webinars

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Pre-Recorded

Lynn M. Anderanin

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Presenter

Lynn M. Anderanin

CPC, CPMA, CPC-I, CPPM, COSC

Lynn Anderanin is a nationally recognized expert in orthopedic coding and compliance with over 40 years of experience. She is a Coding Compliance Manager. Lynn frequently speaks on CPT®, ICD-10, and compliance topics, specializing in orthopedic and E/M services.

Lynn specializes in orthopedic compliance and provides strategic guidance to organizations navigating payer policies, Medicare regulations, and risk mitigation related to improper payments.

With a strong background in coding education, audit response, and documentation integrity, Lynn helps healthcare providers proactively identify compliance gaps, respond to overpayment findings, and implement sustainable internal controls.

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