2025 Coding 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 
1. What are considered preventive services for Medicare vs commercial plans and the proper codes to report

2. Guidelines for documentation to successfully code/report all required parts of the IPPE/AWV

3. Who may perform various parts of the AWV 

Special topics:

• Services that are bundled in the preventive codes

• Addressing preventive services and an acute problem discovered on the same day

• Immunizations, Injections, and Lab documenting and coding for medical necessity

Date:              Friday July 18, 2025         

 Time:            1:00 a.m. to 4:00 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.

Understanding the Official Coding Guidelines for ICD-10-CM Coding
Lunch program July 23
Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

If you code your own encounters, this one hour program is especially for you along with billers and coders.These guidelines are rules, often overlooked, that have been developed to complement official coding conventions and instructions provided within ICD-10-CM itself.Adherence to these guidelines when assigning ICD-10-CM diagnostic codes is required under HIPAA.Join us for a discussion of these rules underlying the use of the codes and instructions within the main body of the manual. For those who have never read the guidelines, it can be an illuminating experience. It is a great review and update for those familiar with coding and coding rules.                       

Date:               Wednesdays, July 2 OR 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.**This series of in-service courses is open only to participating MetroCare Physicians 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.***************One hour of CEU available***************

Succeeding with the Controlling Hypertension Quality Measure 

Presented by: Laurie King, RN Provider Engagement Clinical Specialist, HealthChoice

This brief lunchtime webinar will focus on meeting and reporting the NCQA/HEDIS quality measure for controlling hypertension that is the same across all payer contract types, whether commercial or CMS. Special attention will be given to proper coding for complicated hypertension, which seems to be affecting success in our network. Improvement in attention to patients who qualify for this measure can help prevent or delay the significant vascular damage that brings about chronic problems affecting the quality and length of their lives while improving physician quality scores with value-based commercial contracts and MIPS for Medicare

Date:  Wednesday, July 30           Time:         12:15 PM – 12:45PM     We will begin promptly at 12:15ONLINE ONLY. Link will be emailed to registrants one day prior.   0.5 hour CEU

3 Hours on Modifiers and Place of Service in 2025: Repeat

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

This is a repeat of our April 2025 program for those who missed it.

Proper use of modifiers and correct place of service all affect reimbursement for services. Understanding how and when to use modifiers is imperative to relate this additional information not included in procedure codes. Place of service codes will also be discussed with some attention to recent telehealth changes. Join expert Karen Scott for this three hour review of new information as well as coding guidelines reinforcing coding knowledge to properly report services.

Bring your CPT4 manual for class exercises.

Date:               Wednesday       August 6           

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

Location:         Online webinar only. Link will be emailed one day prior

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

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

Coding the Integumentary System 2025

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

Revisit CPT coding as well as important diagnostic coding with Karen Scott.

Sharpen your coding skills to ensure selection of the appropriate codes for reporting debridement, excision of lesions, burns, repairs, and other integumentary services for optimum reimbursement and coding compliance.  The section will include discussion of codes and documentation needed to support their use. Problematic areas and common “hot spots” will be covered.  

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.

Date:               Wednesday, August 6, 2025

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

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

For MetroCare Physicians members and staff only
3 hrs CEU available