News and Announcements
METROCARE ANNUAL MEETING SEPT 23: click here for details and RSVP
NEW Cigna Clearity Plan Effective July 1:
Cigna has announced a new plan similar in many ways to the Surest plan from UHC. It has no decuctible or coinsurance and the copay is variable by provider with Prior Auth/Online Benefits Verification/Claims Status through Allegiance.
Details provided by Cigna: Provider FAQs/member ID card click here Verification/Authorization/Claims Status One Pager info click here
July 1 Medicare GLP1 Bridge Plan for Expanded Access to GLP-1 Meds
- Prescriber Fact Sheet– Key information for prescribers referring patients to the Medicare GLP-1 Bridge.
- Pharmacy Fact Sheet– Guidance for pharmacies on billing and dispensing under the demonstration.
- Prior Authorization Form–Outline of clinical criteria for Medicare GLP-1 Bridge eligibility.
- Medicare GLP-1 Bridge | CMS - Latest FAQ from CMS
Patient Easy Fact Sheet
***There has been some anecdotal evidence of several problems at different levels in the process at this time****
Major Changes in Maternity Services Codes for 2027
MetroCare will present lunchtime webinars to preview these specific changes in August and September in lunchtime programs as well as address in our overall 2027 three hour coding updates presentations this fall. Register here for AUG 12 Maternity Coding 2027 Program
Pediatric Mental Health Lunchtime Webinar July 15
“Pencils, Pressure, and Panic: Mental Health at Back to School.”
Dr. Alicia Barnes will help our community prepare for the back‑to‑school season with a timely and practical talk: Wednesday, July 15 12:15-1:00 PM online RSVP here
Dr. Alicia Barnes, DO, MPH, is the Urban Child Institute Endowed Chair of Excellence in Child and Adolescent Psychiatry and Associate Professor at University of Tennessee Health Science Center. She serves as Chief of Psychiatry at Le Bonheur Children’s Hospital, serving in leadership roles on the Executive Board for AACAP(American Academy of Child and Adolescent Psychiatry and as President of the Tennessee Society of Child and Adolescent Psychiatry.
Upcoming Specialty Coding Topics: click here to RSVP
Protecting Against Downcoding: Live Lunchtime Webinars on Documentation for E&M
Three Dates for your convenience: July 21 August 6 12:15 - 1:00
Jul 10: 9 AM External Causes
1 PM Pediatrics (repeat)
Jul 17: 9 AM Preventive Services
1 PM Coding Chronic Disease
Aug 7: 9 AM Op Notes (repeat)
1 PM Urology (repeat)
Aug 14: 9 AM Integumentary (repeat)
1 PM Three Hours of Modifiers
LUNCHTIME SESSIONS WITH KAREN
Protecting Against Downcoding: Live Lunchtime Webinars on Documentation for E&M
Three Dates for your convenience: July 21 August 6 August 12 12:15 - 1:00
SVMIC MONTHLY LUNCHTIME PRACTICE MANAGEMENT SESSIONS
Jul 23: Patient Experience: Why It is More Than Customer Service
Aug 20: Revenue Cycle Management
Sep 24: Navigating the No Surprises Act: Ensuring Compliance and Transparency
Oct 22: HR Do’s & Don’ts
_________________________________________
PAYER AND MANAGEMENT INFORMATION click image for access
