From Coach to Care TeamMedicare health coaching in 2027. Rule. Templates. Practice.
Starting January 1, 2027, Medicare nationally prices health and well-being coaching under CPT® 0591T, 0592T and 0593T. Coaches now have a clear path to work inside a medical practice, as part of the care team, under a practitioner's general supervision. The rule is written for regulators, not coaches. This course translates it, then hands you the templates to put it into practice.
Read the free guide to the 2027 rule
Hosted on Teachable. Secure payment. Pre-sale: modules release as they're finished.
What the 2027 Final Rule Changed
National pricing from January 1, 2027.
0591T, 0592T and 0593T stay Category III CPT® codes, but they are now nationally priced under the Medicare Physician Fee Schedule (status A) instead of contractor priced.
General supervision, not direct.
Coaching is an incident-to service furnished by auxiliary personnel under general supervision, so the practitioner doesn't need to be in the room. Only the supervising practitioner bills (42 CFR 410.26(b)(5)).
Named qualification pathways.
CMS lists pathways that "include, but are not limited to" NBHWC National Standards, NCHEC eligibility for CHES®, AHNCC Certified Nurse Coach standards and Older Americans Act evidence-based program training.
Telehealth stays, frequency is open.
The codes remain on the Medicare Telehealth Services List, with no preset frequency limits when services are reasonable and necessary.
Source: CY 2027 Physician Fee Schedule final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061).
The Three Codes
Each code gets its own documentation template in the course. Service descriptions are paraphrased.
Health and well-being coaching codes
| Code | Service (paraphrased) | Time per CPT® descriptor | Template in the course |
|---|---|---|---|
| 0591T | Individual initial assessment | No time listed in the final rule's table; see the current AMA CPT® descriptor | Initial assessment SOAP note |
| 0592T | Individual follow-up session | At least 30 minutes | Follow-up progress note |
| 0593T | Group of 2 or more, billed once per beneficiary | At least 30 minutes | Group note + attendance roster |
Where each rule fact comes from
Every Medicare fact on this page comes from the CY 2027 Physician Fee Schedule final rule. Some details still depend on your Medicare Administrative Contractor (MAC), so the last column says what to confirm locally.
Rule facts and sources
| Fact | Source | Confirm locally? |
|---|---|---|
| National pricing under the Physician Fee Schedule (status A) from January 1, 2027 | CY 2027 PFS final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061) | National rule |
| 0591T, 0592T and 0593T remain Category III CPT® codes | CY 2027 PFS final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061) | National rule |
| Coaching is an incident-to service furnished by auxiliary personnel under general supervision | CY 2027 PFS final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061); 42 CFR 410.26(b)(5) | Yes, supervision and documentation details with your MAC |
| Only the supervising practitioner bills; coaches do not bill Medicare | CY 2027 PFS final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061); 42 CFR 410.26(b)(5) | National rule |
| Qualification pathways "include, but are not limited to" NBHWC National Standards, NCHEC eligibility for CHES®, AHNCC Certified Nurse Coach standards and Older Americans Act evidence-based program training | CY 2027 PFS final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061) | Yes, credentialing with your MAC and organization |
| The codes remain on the Medicare Telehealth Services List | CY 2027 PFS final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061) | Yes, telehealth requirements with your MAC |
| No preset frequency limits when services are reasonable and necessary | CY 2027 PFS final rule, CMS-1848-F (display copy, pp. 374–387 and 2059–2061) | Yes, with your MAC |
Course Outline
Nine sections, from the rule itself to the templates, walkthroughs and tools you need to use it.
Start Here
How to use the course by role, the release schedule, and a checklist for verifying requirements with your Medicare Administrative Contractor (MAC).
Orientation + MAC checklistThe Rule in Plain English
The CY 2027 final rule in 15 minutes: the three codes, who furnishes, who bills, general supervision, and the open questions still waiting on MAC guidance.
Video + 2-page briefBilling & Documentation Cheat Sheet
One page, front and back: code table, who furnishes vs. who bills, same-day code pairs, telehealth notes and red flags.
PDF + DOCXDocumentation Templates
SOAP-style notes for the 0591T initial assessment, 0592T follow-up and 0593T group session with roster, plus a practitioner order and plan of care, a general-supervision log and a credential-file checklist.
DOCX + fillable PDFWalkthroughs: Putting It Into Practice
Eight screen-share lessons: from referral to first session, writing each note, running a group, supervision that holds up, the billing hand-off, and a 10-question self-audit.
Video lessonsPatient Worksheets
Readiness-to-change ruler, SMART goal contract, a "what matters to you" values worksheet, and a coaching consent and notice.
Print-ready, plain languageJoining a Care Team: Practice Integration Kit
A clinic pitch deck, ROI worksheet, coach job description, services-agreement template (attorney review required) and a CBO–practice partnership one-pager.
For coaches pitching practices, and practices adding coachesBonus: Coaching Veterans
A military culture primer, VA Whole Health goal mapping, a non-diagnostic veteran intake add-on and a safety protocol card, taught from nearly 10 years as a military medic.
Not affiliated with the VAUpdates & Next Steps
An edition log of every rule-driven change, so you always know what's current, and how to reach me.
Updated as CMS and MAC guidance arrives
Self-paced and online through Teachable, with video lessons plus downloadable templates you keep. There's no exam and no continuing education credit. The payoff is a documentation workflow you can use from your first Medicare coaching session.
Learning Outcomes
Explain the Medicare health coaching rule in plain English to a coach, a practice manager or a physician, including who furnishes, who bills and how Medicare payment reaches the practice.
Write SOAP-style session notes with the date, actual start and stop times, modality, SMART goals and an action plan, signed and linked to the practitioner's plan of care.
Write progress notes for 0592T follow-ups, and an individualized entry for every participant in a 0593T group, never cloned.
Stay inside your scope of practice, and route new clinical concerns back to the supervising practitioner through a clear referral pathway.
Build a credential file and pitch a coaching partnership to a practice, without revenue promises.
Who This Course Is For
Health education specialists
CHES® and MCHES® professionals moving into clinical coaching.
Health and wellness coaches
NBC-HWCs and nurse coaches who want to work with Medicare practices.
Practice managers and clinicians
Physicians, nurse practitioners and the practices that supervise coaching, coordinate care and submit the claims.
Community-based organizations
CBOs such as area agencies on aging, whose staff furnish coaching under a practitioner's general supervision.
How the Pre-Sale Works
I'm actively building the course now and expect to finish it by the end of November 2026.
You're enrolled at checkout, and modules appear in your Teachable account as they're published.
You'll get an email each time a new module goes live.
Pre-sale buyers pay $150 once, through December 1, 2026. The price goes up to $197 when the course is complete, and you keep every 2027.1 edition update.
Honest Expectations
What this course is not
Not a way to bill Medicare yourself. Coaching is furnished under general supervision, and only the supervising practitioner bills.
Not a certification. It assumes you have, or are earning, a qualifying credential.
Not advice. It is not legal, billing, coding or clinical advice.
No CE credit and no guarantee. It offers no continuing education credit and does not guarantee eligibility, credentialing, payment or reimbursement.
How this course compares with other options
Coaches and practices can learn about the 2027 rule from several places. Here is what each offers.
Ways to prepare for Medicare health coaching
| Option | Cost | What you get | Best for |
|---|---|---|---|
| Health coach certification program | Typically months, at a higher cost | Coaching skills and a credential, or exam eligibility; usually not Medicare-specific | Coaches who don't yet hold a qualifying credential |
| Free rule summaries (CMS, NCHEC, NBHWC) | Free | What the rule says, with no documentation templates | A quick read on what changed |
| From Coach to Care Team (this course) | $150 pre-sale ($197 regular) | Code-by-code templates for 0591T, 0592T and 0593T, a supervision log, a credential file, and a billing hand-off walkthrough | Credentialed coaches and the practices that supervise them |
Angel Reyes, DrPH (c), PMP, PMI-ACP, MPH, MCHES
Course Instructor · MCHES #40158
Angel Reyes is a Master Certified Health Education Specialist with a Master of Public Health, currently completing a Doctor of Public Health. Nearly 10 years as a military medic shaped how this course is built: clear procedures, nothing assumed, and every rule fact on this page cited to the final rule, as shown in the source table above.
More about Angel ReyesFrequently Asked Questions
Will this course let me bill Medicare myself?
No. Under the 2027 final rule, coaching is furnished by qualified auxiliary personnel under general supervision, and only the supervising practitioner bills. The course teaches how coaches fit into that model and how to document your part.
When do I get access?
The course is in active production. I'm building it now and expect to finish by the end of November 2026. You're enrolled at checkout, and you'll get an email as each module goes live.
What does it cost?
$150, a one-time pre-sale purchase on Teachable, through December 1, 2026. The regular price is $197. Pre-sale buyers keep every 2027.1 edition update.
Does the course offer continuing education credit?
Not at this time. It is an educational resource, and it does not guarantee eligibility, credentialing, payment or reimbursement.
Join the Care Team Ready for 2027.
One payment gets you every section, template and video as it's released, plus all 2027.1 edition updates.
Secure checkout. Hosted on Teachable. Pre-sale: you're enrolled at checkout and emailed as each module goes live.
Educational use only. This course is educational and is not legal, billing, coding, reimbursement or clinical advice. Always follow the documentation, billing and scope-of-practice policies set by your supervising practitioner and organization. Those policies must comply with CMS regulations, your Medicare Administrative Contractor (MAC) and state law. If anything conflicts with those requirements, stop and consult your compliance officer or qualified healthcare counsel before billing. Coaches do not bill Medicare themselves; the supervising practitioner bills. Purchase does not guarantee eligibility, credentialing, coverage, payment or reimbursement.
Not affiliated with or endorsed by CMS, the VA, NCHEC, NBHWC, AHNCC or the AMA. CPT® is a registered trademark of the American Medical Association; code descriptors are paraphrased. CHES® and MCHES® are registered marks of the National Commission for Health Education Credentialing, Inc. Full disclaimer: healthcoachcodes.com/disclaimer