Description

On July 21, 2026, CMS/HHS published a correction (91 FR 45647) to the 2027 Notice of Benefit and Payment Parameters (NBPP) final rule, confirming the rule's effective date of July 20, 2026 and restoring regulatory text on state-mandated benefit requirements and Essential Health Benefit (EHB) cost-sharing calculations. While this rule is primarily aimed at insurers, Exchanges, and brokers, its downstream effects reach hospitals, health systems, and provider organizations directly: coverage and EHB changes affect what is billable and reimbursable, Basic Health Program eligibility changes affect patient coverage verification at intake, and CMS's broader compliance posture continues to align with OIG's General Compliance Program Guidance. This session will translate the rule into practical implications for healthcare compliance officers, internal auditors, and C-suite leaders — covering what is effective today, what documentation and monitoring practices need updating, and how to keep your compliance program audit-ready.

After this webinar attendees will be able to answer-

• What did the July 21, 2026 CMS correction notice actually change, and is the 2027 Notice of Benefit and Payment Parameters (NBPP) now in effect?
• How do the corrected Essential Health Benefit (EHB) provisions (45 CFR 155.170 and 156.130) affect coverage determinations, denials, and patient cost-sharing that your organization must track?
• How does the new Basic Health Program "eligible noncitizen" eligibility standard affect patient coverage verification and downstream billing/audit exposure?
• Where do compliance officers and internal auditors need to update policies, documentation standards, and monitoring plans in response to this rule?
• How should a healthcare compliance program align this update with existing OIG General Compliance Program Guidance expectations?
• What documentation and audit-readiness steps should compliance teams take in the next 30-60 days to reduce federal audit and enforcement risk?

This webinar benefits the following agencies-

• Hospitals and health systems
• Physician practices and ambulatory care organizations
• Healthcare compliance and internal audit departments
• Revenue cycle and patient access/eligibility verification teams
• Health plans and payer compliance departments
• Healthcare consulting and compliance advisory firms

Who should attend?

• Chief Compliance Officers and Compliance Directors
• Chief Executive Officers, COOs, and other C-suite healthcare leaders
• Internal Auditors and Compliance Auditors
• Revenue Cycle Directors and Patient Access/Eligibility Managers
• Medical Coding and Billing Compliance Managers
• Risk Management and Regulatory Affairs professionals