Supervising and Billing for Advanced Practice Providers: Avoiding a Billing Nightmare 
Jackie Boswell, MBA, FACMPE – Assistant Vice President SVMIC

Overview: This presentation discusses state level supervision requirements and discusses requirements for Medicare “incident to” billing, as well as billing and credentialing with commercial payers.Objectives:• Understand the requirements for physician supervision requirements of mid-level providers in your state• Discuss “incident to” billing and when it applies•

Date: Thursday OCT 16
Time: NOON
Location: online only.

Link will be emailed to registrants one day prior **This course is open only to participating MetroCare physician members and their staff.Contact Person:         Donna Pendergrass 901-261-7796 This email address is being protected from spambots. You need JavaScript enabled to view it.***** 1 CEU hours available *****

Reporting E & M Levels 4 and 5: Oct 22 Lunchtime session to hone your skills

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Physicians: We want to help you continue to be paid appropriately for all of the work that you do to provide the best care for your patients. New tactics are being used by payers to lower the E&M levels that you report and pay at that lower level. AI sisstance makes combing through medical records so much easier to deny for documentation.

Karen will review in detail and lead a discussion around what constitutes E&M levels 4 and 5 and how you can best document to protect your claims coding based on medical decision making. Time documentation will also be discussed.

PLEASE SEND US YOUR TOUGH CASES FOR DISCUSSION AND DE-IDENTIFY THE PHI.      Email to: This email address is being protected from spambots. You need JavaScript enabled to view it.

Due to the brief time scheduled for this session, please try to log in on time so that we may start promptly.
 
Attention will be given to definitions and details of level determining elements of problems, data, and risk 

Dates:               Oct 8 OR Oct 22                 

Time:               12:15 p.m. to 1:00 p.m.  WE WILL START PROMPTLY AT 12:15                  

 Location:        Online only. Link will be emailed to registrant 1 day prior.

**This course is open only to participating MetroCare Physicians members and their staff. 1 hours CEUs will be available.

Contact Person: Donna Pendergrass

   901-261-7796

   This email address is being protected from spambots. You need JavaScript enabled to view it.

Coding for ObGyn in 2025
Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA 

REPEAT OF OUR MAY PROGRAM in case you missed it. You can only count the certificate one time this year.

Proper coding and documentation are required to bring about maximum reimbursement as well as to report quality care and maintain accurate medical records for the welfare of the patient.

Coding for ObGyn in 2025
Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA 

Proper coding and documentation are required to bring about maximum reimbursement as well as to report quality care and maintain accurate medical records for the welfare of the patient.

 Chapter specific terminology with anatomy
· Proper coding of conditions, disorders, and their complications
· Review coding sequencing, rules, regulations and conventions
· Stressing the importance of specificity in documentation and codingwith identificationof co-morbidities that trigger HCCs 

Please bring have coding manuals to follow along and use for coding exercises..

Feel free to submit specific questions in advance, so that Karen may fully address them. (please redact any PHI before submission)

 Date:               Oct 24            

Time:                9:00 a.m. to 12:00 p.m.                      

 Location:         Online only. Zoom link will be emailed to registrants one day prior.   **This course is open only to participating MetroCare Physicians members and their staff.   3 hours CEU available

Coding The Musculoskeletal System 2025

Presented by:

Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

REPEAT OF OUR JUNE PROGRAM in case you missed it.

This class will review the coding processes, rules, sequencing guidelines, and regulations relating to the musculoskeletal system.   

A few topics to be discussed are:

• Coding external causes
• Coding treatment after a prior surgical loss
• Bundled payments
• Coding E/M and procedures on the same day
• Fractures: delayed healing, nonunion, malunion, sequela

Date:          Friday, Oct 24, 2025

Time:          1:00 a.m. to 4:00 p.m.

Location: Online only. Zoom link will be emailed one day prior to event.

**This series of courses is open only to participating MetroCare Physicians members and their staff.

Contact Person: Donna Pendergrass 261-7796,  This email address is being protected from spambots. You need JavaScript enabled to view it.

*****3  CEU clock hours available *****

UHC Web Portal Training, Authorizations Management, Claims Resolutions

Presented by: Monica Blackwell, UHC Provider Account Management and
                              Fran Parker, MetroCare Provider Relations and Quality Improvement

On October 29, MetroCare is hosting Monica Blackwell, Provider Account Manager at UnitedHealthcare, in a live lunchtime webinar for our MetroCare member practices only,
to demonstrate use of the UHC portal to:

*help manage your claims denials
*obtain and manage prior authorizations
*access updated information on coding/billing/payment policy changes as they happen
* and sign up for the UHC news and information tailored to your needs.

Fran Parker, MetroCare Provider Relations and Quality Improvement, will explain how to streamline your requests for assistance with claims and plan participation issues by submitting up front the complete information needed for resolution.

Date: October 29

Time: 12:15 PM

Online Only. Link will be emailed one day prior to the event.