2026 is here—and with it comes a new wave of payer updates, policy revisions, and regulatory shifts.
The question is: Is your practice truly prepared?
Do you know which changes will impact your workflows, documentation, and reimbursements?
Is your staff equipped with the knowledge they need to protect your revenue?

In today’s rapidly evolving healthcare landscape, payer-specific guidelines and regulations change faster than ever. Without proper preparation, practices can experience declining reimbursements, delayed payments, and a surge in claim denials.
But there’s good news—your team can stay ahead of the curve.
Many major insurance carriers now publish highly detailed, specialty-specific policies. Understanding these requirements upfront—and knowing exactly how to locate and interpret them—can dramatically improve your approval rates and financial outcomes.

During this powerful and highly informative course, our expert speaker will guide your team through:

• How to quickly identify payer-specific rules and documentation requirements
• What information to include in submissions to strengthen approvals
• Practical strategies that help your staff get better results with less frustration
• Tools and insights to boost accuracy, confidence, and overall efficiency

Ensure your entire care team attends this essential 2026 training.
Empower your staff, optimize your processes, and protect your bottom line with the knowledge needed to thrive in a year of major payer transformation.

Learning Objectives:

Give a brief overview of the problem area/s this session is going to address and the solutions to be provided

• Understand the challenge of constant payer changes and learn a structured approach for monitoring updates and implementing them effectively within your practice to reduce financial and operational risk.
• Recognize the complexity of payer policies and gain the skills to interpret requirements, uncover hidden expectations, and anticipate how subtle policy shifts may affect coding, billing, and documentation.
• Identify emerging trends in denials and payer behavior by learning how to track data, spot early warning signs, and apply proactive solutions that prevent recurring issues and protect revenue.
• Address denied claims more effectively by understanding why appeals often fail and gaining clear guidance on what documentation, language, and evidence to include to maximize your success rate.
• Strengthen team communication and workflow alignment by exploring how structured, purpose-driven team meetings can resolve process gaps, clarify responsibilities, and support continuous improvement.

Session Agenda :

Step wise flow of session to help audience understand what pain areas will be covered

• This session provides a comprehensive review of current and emerging policy changes across all major payers. Attendees will learn practical methods for staying informed, including how to receive timely notifications and how to proactively locate and verify updates before they impact operations.
• We will address the common challenges practices face when implementing new requirements—particularly during the early part of the year, when policy transitions are most frequent. The session will outline actionable strategies for integrating payer updates into daily workflows, minimizing disruptions, and ensuring organizational readiness.
• Participants will also explore techniques for identifying trends in denials, documentation requests, and payer behavior. By understanding how to analyze these patterns, practices can streamline internal processes, enhance efficiency, and reinforce financial stability. The session concludes with guidance on building resilient operational systems that support continuous improvement and protect your bottom line throughout the year.

Session Highlights:

• Stay Ahead of Payer Changes: Learn how to anticipate updates before they affect your revenue.
• Decode Policies Guidelines: Understand what payer requirements really mean—and how they impact your practice.
• Transform Denied Claims Into Approvals: Gain strategies to address denials caused by policy shifts and win more appeals.
• Spot Problems Early: Discover how to identify internal issues before they become costly setbacks.
• Boost Productivity with Smarter Time Management: Implement practical techniques that increase efficiency across your team.
• Streamline Internal Workflows: Build processes that simplify operations and reduce errors—making everyone’s job easier.
• Understand Payer Motivations: Learn what payers aim to achieve and how to protect your practice from unnecessary obstacles.
• Evaluate Outsourcing Options: Explore the advantages and drawbacks of outsourcing to determine what’s best for your organization.

Who will Benefit:

• Office Managers
• Billers
• Coders
• Pre authorizations specialists
• Front desk
• Supervisors

Speaker Profile

Stephanie is the founder and owner of Elite Coding and Billing LLC. She brings a distinctive blend of clinical expertise, revenue cycle knowledge, and business acumen that enables her to connect effectively with clinicians, administrators, and coding and billing professionals alike.

With over 11 years of experience in pain management and 10 years in orthopedics, Stephanie has worked in both small and large private practice settings. Her background also includes extensive work with hospital-based providers, ambulatory surgery centers, and a variety of additional specialties, giving her a broad and comprehensive understanding of diverse healthcare environments.

Stephanie is committed to helping organizations optimize revenue cycle processes through accurate coding, efficient billing practices, and strategic operational insight. She resides in Riverton, Utah, where she enjoys spending time with her family.