Supervising and Billing for Advanced Practice Practitioners: Avoiding a Billing Nightmare
Jackie Boswell SVMIC Medical Practice Consultant

Overview: This presentation discusses state level supervision requirements and Medicare “incident to” billing, as well as billing and credentialing with commercial payers.

Objectives:

• Recognize the physician supervision requirements of mid-level providers in your state
• Discuss “incident to” billing and when it applies

Online only. Link will be emailed one day prior. 

For MetroCare Physicians members and staff 1 hour CEU available

Preventive Services for Commercial and Medicare Plans

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

The focus for preventive medicine services is to promote and maintain the well-being and health of patients to reduce risk of disease and disability. But preventive care also allows an opportunity for proper reporting of chronic disease burden in your practice population, allowing payers to more adequately estimate future resource use and cost of care for your patients. This can figure heavily in shared savings contracts and MIPS fee schedule adjustment calculations.

Karen will review preventive services and the guidelines for documentation and coding to successfully report and capture payment for these services to commercial carriers as well as Medicare.

Special topics:

• Services that are bundled in the preventive codes
• Preventive services and an acute problem discovered on the same day
• Immunizations, injections, and Lab

Date:              Friday November 10, 2023

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

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

***** 3 CEU clock hours are available. *****

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

CODING INFECTIOUS DISEASE IN 2024

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

This training session reviews in detail the coding processes, rules, and regulations for infectious diseases, related conditions, and complications. Current COVID rules including vaccine coding will be addressed in this.

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 have your ICD-10-CM and CPT-4 manuals for participation in the exercises.

Date:              Friday, November 10, 2023

Time:              1:00 p.m. to 4:00 p.m.

 Location:     online. Link will be emailed one day prior.

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

***3 hrs CEUs available ***

Coding External Causes: Injuries, Adverse Effects, Poisonings, & Other Consequences in 2024

Presented by:

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

This important and often overlooked area of coding will be addressed through chapter specific coding conventions and sequencing guidelines and rules relating to injuries, poisonings and other external causes.    

Additional emphasis on coding the highest level of specificity will be covered to aid in reporting medical necessity. 

A few areas covered include coding:

• Contusions, open wounds, lacerations
• Traumatic injuries including burns
• Insect bites, abrasions, foreign bodies, superficial injuries
• Poisonings and toxic effects of substances
• Procedural complications

Please bring your ICD-10-CM manual to class for participation in the exercises. This class is open only to participating MetroCare physician members and their staff.

Date:              Friday, Nov 17, 2023

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

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

3 hours CEU available

 Contact Person: donna Pendergrass 901-261-7796, This email address is being protected from spambots. You need JavaScript enabled to view it.

Social Determinants of Health: 
Good for patient care, quality measure outcomes, and E&M levels

Three Hour Session

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA
                       and Donna Pendergrass, MD CPPM CPCO CDEO                                 

The proposed rule for the 2024 CMS Fee Schedule is indicating that there will be new codes added to reimburse for screening as well as for coordination of services to address the Social Determinants of Health.

Commercial payers are also beginning to acknowledge that regardless of proper medical attention and prescribed treatment, circumstances in a patient’s life outside the control of the physician and the patient heavily influence a patient’s health and well-being. And evaluating your patient for these issues can affect E&M level selection.

Codes to indicate these harmful situations, whether environmental or economic or otherwise, allow for reporting of treatment failures, unexpected negative outcomes, and generally increased risk in patients who may have socioeconomic reasons for less than expected positive outcomes and higher cost.

 
Attention will be given to:

• Introduction and overview of social determinants
• Attention to codes currently available for reporting
• Influence on E&M level selection
• Available Screens
• Local Resources for patient assistance

Dates:               November 17

Time:               1:00 p.m. to 4:00 p.m.          

 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. 3 hour CEUs will be available.

Contact Person: Donna Pendergrass