Documentation and Coding for Pediatrics 2025 REPEAT

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

This is a repeat for those who missed it in February

The session will review CPT4 and ICD-10-CM coding for Pediatrics with special attention to pediatric quality measures that are part of our value-based contracts. New and existing CPT4 and ICD-10 coding processes, sequencing guidelines, rules, and regulations as well as coding conventions and interpretations affecting appropriate diagnostic code assignment will be discussed. If there are applicable topics or questions that you wish to be addressed, please forward those at least a week prior to the session to make sure they are covered.

Please bring your CPT 4 and ICD-10-CM coding manuals for class exercises.

Date:               Friday, August 8, 2025

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

Location:        Online only. Zoom link will be sent one day prior.

                                             ****3 CEUs available by request***

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

Contact Person: Donna Pendergrass 261-7794, This email address is being protected from spambots. You need JavaScript enabled to view it.

Coding for 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  

Three Hour Session

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

This is a repeat of our February 2025 program in case you missed it.                                

The CMS Fee Schedule has been regularly introducing new codes to reimburse for screening as well as for coordination of services to address the Social Drivers/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 and billing/revenue
• Local Resources for patient assistance

Dates:               Friday August 8

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

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

Revenue cycle Management 
Presented by: Michael Cash, MHSA, FACMPE Senior Medical Practice Consultant SVMIC

Revenue cycle management is a complex process and encompasses many steps. Optimal performance of a practice’s revenue cycle is critical in achieving maximum financial results. This program provides an overview of the revenue cycle and methods to measure and improve effectiveness.

Date: Thursday August 14
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 *****

NEW TOPIC!  NCCI Edits and Modifiers
August 20

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

NCCI edits help prevent inappropriate payments when two procedures occur/are billed together. Appropriate use of modifiers can affect/be affected by NCCI edits, sometimes causing confusion, denials, and coding compliance issues.

Do you know how to look at these edits and understand how the modifiers are affected?

Join Karen for a detailed discussion of modifiers that are affected by NCCI edits and increase your coding knowledge.  Questions and discussion are encouraged. 

Date:               Wednesday August 20

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

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

Dealing with Difficult PatientsGretchen Napier MSHA CMC
Medical Practice Consultant 

This program outlines the classic types of difficult patients, the warning signs for each and the reasons behind the behavior. Tips for managing each patient type will be offered. Included are suggestions for managing threatening patients, complaints and developing a patient centered practice.

Date: Thursday September 11
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 *****