2027 Fee Revision Preparedness Service

Care & Disability Services Management Advisory

"Efficiency" Alone Cannot
Protect You Anymore.

Transform AI into a "Shield" for regulatory compliance.
We design and embed operations to prevent reimbursement denials, billing errors, and audit findings—by regulation.

"AI drafts, professionals decide"
As translators between regulations and AI, we design peace of mind for the field

300
ANNUAL LECTURES
30+
PUBLISHED BOOKS
20+
YEARS OF EXPERTISE

Three Management Risks
Leading to the 2027 Revision

These changes are anticipated. Only facilities that prepare now will hold a definitively advantageous position.

01
📊

Advanced LIFE Data Submission

LIFE-related reimbursement restructuring is expected, with increasing demands for data submission accuracy and consistency.

→ Missing entries and inconsistent data may impact reimbursement eligibility
02
📋

Refined Outcome Evaluation

Refinement of outcome-based reimbursement evaluation is under consideration. Performance data on pressure ulcer healing, independence in elimination, ADL maintenance, etc., is expected to become crucial.

→ Record quality and accumulation will determine future reimbursement levels
03
🏛️

Digitalization of Operational Guidance

The "Long-term Care Information Platform" will gradually launch from April 2026, creating an environment where record consistency and billing requirement compliance are scrutinized more rigorously.

→ Risks of retroactive records, document deficiencies, and billing errors increase

Why "Generic AI Implementation"
Is Insufficient

AI is a powerful operational support tool. However, deploying it without designing the following three elements can actually increase risks.

Undesigned Responsibility Boundaries

Using AI-generated records without verification may be deemed "false documentation" during on-site inspections. A system where final verification and correction are always performed by humans is essential.

Lack of Regulatory Interpretation

General-purpose AI does not accurately understand long-term care insurance billing requirements. It cannot respond to subtle changes in reimbursement requirements, creating billing errors and refund risks.

Field Implementation Failure

Training on operations alone does not ensure adoption. Without operational rules on "how to use it to withstand audits," staff will stop using it.

"Efficiency" and "regulatory compliance" are separate issues.
Proper AI use requires "operational design" by experts who know the regulations.

Three Features of
Kohama-Style AI Regulatory Compliance Advisory

We redefine AI not as an "operational efficiency tool" but as an "auxiliary device supporting regulatory compliance." We establish operational systems that can withstand operational guidance in the field.

01

AI Utilization Review System Construction

We analyze current record creation flows and billing status, visualizing risk areas. We design a system where "staff verify, correct, and approve" AI outputs, delivering "AI Operational Regulations and Prohibited Actions" with clear responsibility boundaries.

Regulation CreationResponsibility Design Risk VisualizationAudit Readiness
02

2027 LIFE Data Design

We support data preparation for the Scientific Care Promotion System (Tier 1) and design record structures anticipating outcome evaluation (Tier 2). We standardize LIFE data submission cycle management and consistency checks.

LIFE Data DesignOutcome Strategy Reimbursement Maximization2027 Compliance
03

Field-Ready "Template" Provision

We provide regulatory-compliant prompt sets (records, monitoring, care plans, BCP, etc.) and staff training slides. Prompts updated monthly to reflect regulatory changes, and we train in-house AI managers.

Prompt LibraryMonthly Updates AI Manager TrainingStaff Education

Plan Structure

Select based on your facility's scale and challenges.

Standard Plan

Standard

¥150,000
Monthly (excl. tax, travel)
Target: Home care, day services, facilities (mid to large organizations)
  • Monthly group operational improvement Zoom (common issues, Q&A)
  • Latest regulatory-compliant prompt set auto-delivered monthly
  • Facility-type-specific "AI Operational Regulations & Prohibitions" templates
  • Billing requirements & record deficiency checklist monthly update
  • Chat consultation (5 questions/month, 48-hour response)
  • Productivity improvement promotion system requirements support
Contact Us

*Monthly capacity is limited. Contact us early.

Post-Implementation Steps (Estimate)

Within 6 months from contract, we provide comprehensive support from eliminating regulatory risks to maximizing reimbursement revenue.

01

~ Month 1

Preparation Phase

  • Current situation interview (records, reimbursement status, risks)
  • AI operational regulations & prohibitions template customization
  • Staff onboarding training slides provision
Regulatory risk visualization & organization
02

Months 2-3

Implementation Phase

  • Integrate prompt sets into field operations
  • Monthly Zoom to continuously resolve operational issues
  • Routinize record & billing requirement checks
Significant reduction in documentation time
03

Months 4-6

Optimization Phase

  • Productivity improvement promotion system reimbursement requirements preparation
  • LIFE data submission accuracy improvement
  • Begin 2027 outcome evaluation response design
Reimbursement revenue maximization

Why "Kohama-Style"?

MK
Michihiro Kohama
Director, Kohama Care Management Office
300
Annual Lectures
30+
Published Books
12
Monthly Columns
20+
Years Experience

As a Regulatory Translator

For over 20 years, I have consistently explained long-term care insurance system revisions from a field perspective. I am well-versed in all regulatory challenges faced on the ground: treatment improvement allowances, LIFE, BCP, productivity improvement, AI/ICT, foreign workers (training employment), and more.

This service was born from a unique position: not selling AI as a "convenient tool," but providing operational design as a "bridge (translator) between regulations and the field."

Long-term Care InsuranceLIFE Treatment ImprovementBCP ProductivityAI/ICT Training EmploymentCompliance Disability Welfare

Very few experts can reflect subtle reimbursement requirement changes in real-time

Only experts who know both regulations and field can design "audit-explainable record templates"

The only position that can simultaneously design AI convenience and "regulatory risk elimination"

Can standardize and deliver "AI drafts, professionals decide" responsibility boundaries

Frequently Asked Questions

Is it okay if we have no AI knowledge? +
No problem. This service provides "templates for regulatory-compliant usage," not "how to operate AI." No complex technical operations required.
What happens if AI produces incorrect output? +
AI always functions as a "draft," with final verification, correction, and approval performed by staff (humans) as standard design. We deliver "AI Operational Regulations" with explicit responsibility boundaries, enabling clear explanations during on-site inspections.
Can small facilities implement this? +
The Standard Plan accommodates home care services and small facilities. We also propose subsidy-leveraged implementation designs to minimize initial costs.
What are the contract period and cancellation conditions? +
Minimum contract period is 6 months. Since regulations constantly change, "updates to latest versions" are central to value, and most continue long-term. After 6 months, monthly renewal.
Do you support subsidy applications? +
Premium Plan includes subsidy application design and document review support. Standard Plan provides necessary information and key points. Subsidy eligibility varies by municipality and public offering guidelines.
Do you support foreign workers (training employment)? +
As a Premium Plan option, we provide foreign staff Japanese language education, AI multilingualization of operational manuals, and training employment system compliance design.

The 2027 Revision Will Be a Turning Point
Demanding Data Quality and Improvement Results

Only facilities that prepare now will hold a definitively advantageous position.
Start by checking your facility's risks with our free checklist.

📋 Free Distribution
Regulatory Compliance Checklist to Avoid Refunds,
Billing Denials & Audit Findings with AI Implementation

After registration, we'll email you the checklist.
Your information will not be used for purposes other than service information.

🎁 Today's Seminar Participant Exclusive Bonus
Free "AI Implementation Risk Assessment" (normally ¥30,000 value).
Please note "seminar participant" in your inquiry.