Get Your Modifiers Ready Before January 1
The final 2027 Medicare rule changes same-day E/M payment, G2211 and the conversion factor. In one free hour, we show what to bill, what to document, and the five actions to take before your 2027 claims go out.
Modifiers and Bundling in 2027: What to Bill, What to Document, and What Changed in the Final Medicare Rule. This is Webinar 1 of 2. The January session will focus on care management and remote monitoring (CCM, PCM, PIN, APCM, RPM and RTM). See the series →
Can't attend live? Register anyway. We send the recording, the 10-part toolkit and three worksheets to everyone who registers.
Two webinars. One plan for 2027.
Part 1 covers modifiers and bundling. Part 2 covers care management and remote monitoring. Register for December 9 and we send you the January date as soon as it is set.
Modifiers and Bundling in 2027
What to Bill, What to Document, and What Changed in the Final Medicare Rule
Care Management and Remote Monitoring
Remote monitoring in the final rule, and which services can bill in the same month
Don't come alone. Bring your team.
Modifiers are a team decision. The provider documents it, the coder picks it, the billing team defends it. We strongly recommend each of them attends, so your whole practice hears the same rules before January 1, and nobody has to relay them secondhand.
Invite them in one click
Ready to sendHi team,
I'd like us to attend this free webinar together on Wednesday, December 9 at 4:30–5:30 PM CST (5:30–6:30 PM EST). It covers what the 2027 final Medicare rule changes for same-day E/M and modifier 25, which modifier to use, and how to read NCCI edits.
Please register with your own email so you get the link, the recording and the toolkit:
Each person registers with their own email so they get the link, the recording and the toolkit.
Three changes reach your Medicare claims
The lower-paid service is paid at 80%
When an E/M with modifier 25 is billed the same day as a 0-day global procedure, by the same physician or the same specialty in the group.
B1 and B2 replace the G2211 add-on
B1 adds 16% to the E/M payment. B2 adds 32% for ACO and LEAD participants, and is optional.
A lower conversion factor for most physicians
The one-year 2.5% increase for 2026 ends. Qualifying APM participants see a smaller drop.
As reported from the CY 2027 Physician Fee Schedule final rule (CMS-1848-F), released November 4, 2026. Confirm against the rule text.
Seven things your team can use before January 1
What the 2027 final rule changed for same-day E/M and modifier 25
Pricing modifiers vs informational modifiers
Modifier 25 vs modifier 57
How to read an NCCI edit
When to use XE, XS, XP, XU or 59
What the note must say to support the modifier
Five actions to take before January 1
Four parts, about 45 minutes, then your questions
What changed in 2027
The final Medicare rule and what it means for your claims: same-day payment, B1 and B2, and the new conversion factor.
With Dr. SignorelliWhich modifier to use
Pricing, informational, global period and screening modifiers: what each one means and what the note must show.
With StephanieWhen services bundle
How to read an NCCI edit and its modifier indicator, and when 59 or an X modifier fits.
With StephanieExamples and next steps
Notes that pass, notes that fail, a live poll, and your plan for January 1.
With Stephanie and Dr. SignorelliA 10-part reference toolkit. Three worksheets.
Everything from the session in a format your team can keep at the desk. Register and we send it with the recording, whether you attend live or not.
January 1 readiness checklist
Five actions with owners and suggested due dates.
Modifier 25 note checklist
Six checks before adding 25, with notes that pass and notes that fail.
The same-day E/M rule: 80%
When it applies, a worked example, and how to check a claim.
What changed in 2027
Same-day payment, B1 and B2, and the new conversion factors in one table.
Five questions before any modifier
From "can it be billed separately" to "does the note show it."
Global period modifiers
24, 57, 58, 78, 79, 76 and 77, and what the note should show.
Modifier quick reference
Two pages: pricing modifiers, 59 and the X modifiers, ABN and status modifiers.
NCCI edit reading guide
Column one and two, modifier indicators, MUEs, and the steps to read an edit.
Screening modifiers 33 and PT
Medicare vs commercial, and what to do when a screening converts.
Specialty watch-outs
Primary care, orthopedics and podiatry, with the code families to check.
Same-day revenue impact
Model your own same-day claims at 80% with 2027 rates, with totals at the bottom.
Modifier audit
Score 90 days of claims with 25, 59 or X modifiers. Each one shows Pass or Review.
Payer follow-up log
Track which Medicare Advantage and commercial payers follow the 80% rule and B1/B2.
A physician and a certified coder, in one session
Dr. Heather Signorelli, DO
Physician-led revenue cycle expert and practice revenue strategist.
TODAYOpens the session and covers the final rule
Stephanie Hilliard, CPC
E/M documentation specialist who trains practices on coding and documentation.
TODAYLeads modifiers, bundling and the cases
Built for the whole team. We recommend each of these roles attends:
A modifier explains a clinical distinction. It does not create one.
If the note does not show the distinction, the modifier does not belong on the claim. We will show what that looks like in real notes, and save time for your own scenarios.
Save your seat for December 9
Register once. We send the join link, a calendar reminder, and after the session, the recording and the toolkit.
Check your inbox
Your seat is saved. We just sent the join link and the details for Wednesday, December 9 at 4:30 PM CST. The recording and the toolkit follow after the session.
The join link is in your confirmation email.
Before you register
Is the webinar free?
Yes. The session and the recording are free, with no obligation.
What if I can't attend live?
Register anyway. Everyone who registers gets the recording, the 10-part toolkit and the three worksheets by email after the session. You can also write to us at info@natrevmd.com.
Who should attend?
Physician owners, providers, practice managers, and billing and coding leads at independent practices. The examples cover primary care, orthopedics, podiatry and procedures.
Is this part of a series?
Yes. This is Webinar 1 of 2. Part 1, on December 9, covers modifiers and bundling. Part 2, in January, will focus on care management and remote monitoring (CCM, PCM, PIN, APCM, RPM and RTM). Register for December 9 and we send you the January date as soon as it is set.
Is this based on the final 2027 rule?
Yes. Part 1 covers the CY 2027 Physician Fee Schedule final rule released November 4, 2026. Each item is labeled as final rule, current policy, or awaiting guidance, so you know what is settled and what is still open.
Will there be time for our questions?
Yes. We save time for open Q&A with both hosts. Put your questions in the chat at any time.
What is in the toolkit?
Ten reference pages (a January 1 readiness checklist, a modifier 25 note checklist, the 80% same-day rule, what changed in 2027, five questions before any modifier, global period modifiers, a two-page modifier quick reference, an NCCI edit reading guide, screening modifiers 33 and PT, and specialty watch-outs), plus three Excel worksheets for revenue impact, modifier audits and payer follow-up.
Can I share this with my team?
Yes, and we recommend it. Providers, coders and the billing team each use a different part of the session. Use the invite buttons on this page to email your team the link. Each person should register with their own email so they get the link, the recording and the toolkit.