One Hour on Modifier 25
June 4
Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Appropriate use of a 25 modifier has been causing confusion and presenting coding compliance issues since its inception. Use of this modifier is being heavily audited, and payers are beginning to require providers to submit documentation much more frequently than in the past.

Join us for a detailed discussion of proper use. This session is very appropriate for clinicians as well as for coders.   

Date:Wednesday June 4     OR    Wednesday June 23         

 Time:                12:15 p.m. to 1:00 p.m.                                 

Location:        Online. Web link and handout will be sent one day prior to the event.• 1 hrs CEUs**This series of in-service courses is open only to participating MetroCare Physicians members and their staff.Contact Person: Donna Pendergrass   donna.pendergrass@metrocarephysicians.com

Chart Auditing for Coding and Documentation in 2025 
Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

This interactive session is designed for coders and will focus on techniques for auditing clinical documentation to justify appropriate assignment of ICD-10 CM codes with attention to those that trigger HCC for risk.

We will also review proper documentation for E/M.Objectives include:
• Assisting with the implementation of your own internal audit program
• Providing exercises for hands on auditing experience
• Guiding you with effective feedback to your physician and staff

Be sure to bring your current CPT-4 and ICD-10 CM manuals with you as well as a highlighter and sticky notes.  Feel free to also bring your questions or problems.                            

Date:               Friday, June 6, 2025           

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

Location:        Online only. Link will be emailed to registrants one day prior **This series of courses is open only to participating MetroCare physician members and their staff. *********3 CEU hours available *****

CODING THE MUSCULOSKELETAL SYSTEM 2025
Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

This class will review the coding processes, rules, sequencing guidelines, and regulations relating to the musculoskeletal system.   Fracture codes as well as codes for disorders, anomalies, conditions and injuries will be covered. Have your manuals ready for some coding exercises 

Join us to ensure documentation and coding pieces come together to appropriately relate the service rendered and report performance.

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, June 6, 2025

Time: 1:00 p.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,  donna.pendergrass@metrocarephysicians.com
*****3  CEU clock hours available *****

Payer Recoupments and Audits and the Role of Monitoring Your Revenue Cycle
Jackie Boswell, MBA, FACMPE – Assistant Vice President 

Overview: This longer lunch session has been extended to 90 minutes to include  discussion of  the role of revenue cycle reporting and monitoring in maintaining compliance surrounding payer recoupments and methods to avoid deselection, penalties and fines.

Date: Thursday June 12
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 donna.pendergrass@metrocarephysicians.com ;  ***** 1.5 CEU hours available *****

 Reviewing Compliance Plans  2025                                                     
 Presented by:Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

With audits increasing it is time to review and address coding compliance issues.Nothing is more important than the required Practice Compliance Plan to deter fraud, waste, and abuse in Federal programs.

This session will review the components of the OIG Compliance format as well as cover the process of the development of a practice plan.

The topics to be included:Seven Basic Elements Reviewing Practice Compliance Areas of risk
• Importance of a written compliance manual
• Fraud and Abuse definitions with examples
• Training requirements for staff
• Writing practice policies and procedures 

Date:               Friday, June 13, 2025           

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

Location:         Online only. Registrants will receive a link one day prior.**This series of courses is open only to participating MetroCare physician members and their staff. ****Contact Person: Donna Pendergrass donna.pendergrass@metrocarephysicians.com*****3 CEU hours available *****