Reporting Frailty and Advanced Illness and Quality Measure Exclusions
Laurie King, RN, HealthChoice

HEDIS® measures, used to drive improvement efforts surrounding best practices, are often of no benefit or even a detriment to the quality of life for older adults with limited life expectancy or disabilities that interfere with measure compliance.

Hospice patients are automatically excluded, but other frail patients with advanced illness can only be excluded at this time by coding and billing specific diagnostic codes within specified parameters.

Laurie King, RN, HealthChoice will present a lunchtime webinar on Documenting Frailty and Advanced Illnessto explain the background, process, and value behind documenting and reporting these diagnoses.

Date: Thursday

Time: Sept 18 12:15

Online Only. Only for MetroCare member providers and their staff.   1 hr CEU available

ICD-10-CM Coding Updates for 2026  Sept 24 9 AM

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

The ICD-10-CM changes effective Oct 1 are just around the corner, and preparation for all the code changes, new guidelines, and regulations is critical for compliance and revenue preservation. 

Karen will review the changes to coding guidelines along with the code changes and new diagnosis codes. Remember to order those new manuals and have them with you, if possible, for this class.

Date:               Wednesday, Sept 24, 2025

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

Location:        Online. Web link and handout will be sent one day prior to the event.

• 3 hrs CEUs

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

CODING CARDIOLOGY in 2025

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

REPEAT SESSION OF APRIL SESSION for those who missed it. CEU only count once for this year.

This ICD-10-CM and CPT-4 training session reviews in detail the coding processes, rules, and regulations for cardiac diseases, conditions, and disorders E&M and procedures..

We will also review chapter specific terminology with anatomy of body systems and will include coding conventions, sequencing guidelines and rules.

Please send your specific coding problems and questions

to This email address is being protected from spambots. You need JavaScript enabled to view it. to be addressed by Karen during class.

Please de-identify/remove any patient protected health information if you send clinic notes.

Coding exercises are an important section of the class and will assist in reinforcing the material covered. Please bring your ICD-10-CM and CPT-4 manuals to class for participation in the exercises.

Date:        Friday, Oct 3

Time:       9:00 AM – 12:00 PM

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

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

3HOURS CEU available

CODING the GASTROINTESTINAL SYSTEM in 2025 Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA 

REPEAT OF APRIL SESSION for those who missed it. CEU only count once for this year.

This ICD-10-CM and CPT-4 training session reviews in detail the coding processes, rules, and regulations for digestive system diseases, conditions, and disorders. 

We will also review chapter specific terminology with anatomy of body systems and will include coding conventions, sequencing guidelines and rules.

Coding exercises are an important section of the class and will assist in reinforcing the material covered.   Please bring your ICD-10-CM and CPT-4 manuals to class for participation in the exercises.

Please send questions to This email address is being protected from spambots. You need JavaScript enabled to view it. to be addressed by Karen during class.

Please de-identify/remove any patient protected health information if you send clinic notes.

Date:              Friday, Oct 3

Time:              1:00 p.m. to4:00 p.m.

 Location:     online only. Link will be emailed to registrants one day prior.

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

Reporting E & M Levels 4 and 5: Oct 8 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.