September 16, 2025
Event date: October 30th, 2025
1 CEU expires 10/30/26
Guest presenter Pam Warren of MaineHealth
Care management services include Transitional Care Management, Chronic Care Management, Principal Care Management and Advanced Primary Care Management. Each type of care management has its own purpose and service requirements.
Event date: October 16th, 2025
1 CEU expires 10/30/26
The global surgical package provides a single payment for services normally performed before, during and after a procedure. This webinar will review both CPT® and CMS rules and explain what services are included in the payment and what services may be reported separately.
Event date: September 25th, 2025
1 CEU expires 9/30/26
Guest Presenter Shannon McCall of HCPro
ICD-10-CM updates are here and effective starting October 1, 2025. This webinar will describe changes to the all-important ICD-10-CM Official Guidelines for Coding and Reporting.
Recorded September 11th, 2025
1 CEU expires 9/30/26
Guest presenters Pam D’Apuzzo and Debra Rossi of VMG Health
The risk of additional diagnostic testing and management is distinct from the risk of the condition itself. Risk also includes the decision to forgo treatment, but what is the best way to document that?
Pam Warren, MHA, COC, CPC, Fellow We’ve all seen that two-page chart in the CPT® book that indicates the place of service code (POS) that is expected to be reported for physician services. But not every physician performs in office settings; not all physicians perform office visits, and some services can be billed by physicians when […]
Recorded August 14th, 2025
1 CEU expires 7/30/26
CMS released its proposed policy changes for physician practices in mid-July this year, with the usual 60-day comment period. Our webinar will tell you what’s in it.
Recorded July 17th, 2025
1 CEU expires 7/30/26
Guest presenter Pam Warren of MaineHealth
Reporting services in provider-based clinics requires knowledge of Medicare rules related to the technical and professional components of visits. It requires understanding of both the CMS 1500 form and the UB04.
Recorded July 10th, 2025
1 CEU expires 7/30/26
Guest presenters Pam D’Apuzzo and Debra Rossi of VMG Health
Crediting data elements and explaining rules about crediting data elements is complicated. Pam and Deb will describe these and optimal documentation practices, including practical, citation-based advice and recommendations for auditors.
Recorded June 26th, 2025
1 CEU expires 6/30/26
Guest presenter Darren Goodwin of MaineHealth
Join us for an overview of Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) services., outlining key coverage criteria, provider qualifications, and documentation requirements.
Recorded June 19th, 2025
1 CEU expires 6/30/26
Guest presenter Shannon McCall of HCPro
This webinar focuses on selected CPT® modifiers that tend to be problematic for coders and claims processing, with emphasis on the application of modifier-22 and -52 including commonalities and differences as stated by the AMA and supportive citations from the Medicare Claims Processing Manual.
This article will review the codes and guidelines for the following behavioral health screening and testing services: Assessment of Aphasia and Cognitive Performance Testing Developmental And Behavioral Screening and Testing Neurobehavioral status examination Assessment of Aphasia and Cognitive Performance Testing CPT© codes for the assessment of aphasia and cognitive performance testing include: 96105 – Assessment […]
Recorded May 22nd, 2025
1 CEU expires 5/30/26
Guest presenters Pam D’Apuzzo and Debra Rossi of VMG Health
Combining CPT® guidance and audit experience, this session addresses definitions and documentation for the first element of medical decision making, the number and complexity of problems addressed. It includes guidance for all problem levels in the E/M grid.
Recorded May 8th, 2025
1 CEU expires 5/30/26
This webinar will review CPT® guidance for reporting critical care, including the condition of the patient, the interventions, and time spent. The webinar will discuss what services may be reported separately from critical care.
Medical Nutrition Therapy Services (MNT) have been a covered benefit under Medicare since the early 2000’s. This article will describe the rules related to coding for medical nutrition therapy services for Medicare patients. This article also addresses common questions about coverage under the Medicare benefit with brief answers and links to the source documents for […]
Recorded April 24, 2025
1 CEU expires 4/30/26
Guest presenter Seth Canterbury
When the method for selecting the level of E/M services was changed for 2021 (office visits) and 2023 (other visits), the concept of “risk” underwent significant revision. No longer was this concept confined to just one element/subcomponent of MDM.
For dermatologists, revenue in the office is generated by procedures and office visits. Often, both are provided on the same day. See the dermatology section of our specialty page for articles about the use of modifiers 25, 51, and 59. Frequency distribution for new and established patients 2023 E/M data released at the end of […]
Recorded April 17, 2025
1 CEU expires 4/30/26
Coding for prolonged services requires practitioner education, careful documentation and coder oversight. These codes are the opposite of “set and forget.” CPT and CMS use different codes and have different time thresholds. For some services, CMS allows time spent on services done on a different date!
CMS developed new HCPCS codes for primary care practitioners who provide care management services and communications-technology based services on a monthly basis. These are an alternative to other care management codes, and acknowledge that much of the work caring for patients occurs outside of regular office visits. These Advanced Primary Care Management (APCM) codes are […]
Prolonged services codes function as add-on codes to the highest-level Evaluation and Management (E/M) services in certain categories. To use prolonged care, providers must select the primary code based on time, which is explicitly stated in both the CPT® and HCPCS definitions of prolonged services. For billing purposes, the full 15 minutes of prolonged services […]
If you are looking for a guide to coding for Rural Health Center (RHC) or Federally Qualified Health Center (FQHC) visits, here it is. Clinicians in RHCs and FQHCs use CPT® and ICD-10-CM codes to select their services, but these are submitted with HCPCS qualifying visit codes. It’s easy for clinicians in these mission driven […]
CMS covers counseling to prevent STI in certain circumstances. The code is G0445. G0445 – Semiannual high intensity behavioral counseling to prevent STIs, individual, face-to- face, includes education skills training & guidance on how to change sexual behavior, performed semi-annually, 30 minutes. The patient must be referred by a primary care provider to be eligible […]
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