2025 Medical Coding Masterclass: CPT, Medicare Care Management, and HCC Updates Unpacked

Toni Elhoms

Toni Elhoms

Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association...
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December 12, 2024
01:00 PM ET | 12:00 PM CT
180 Mins

Session 1 - CPT Coding in 2025: New Codes, Telemedicine Updates, and More!

Date: December 12, 2024 | Duration: 60 Mins | Time: 1 PM ET | Speaker: Jill M. Young

Each year, the American Medical Association (AMA) unveils updates to Category I CPT codes, shaping the landscape of clinical documentation and billing practices for the upcoming year. For 2025, the changes are significant: 420 updates including 270 new codes, 112 deletions, and 38 revisions. These updates impact diverse areas, from telemedicine and digital medicine to surgical and laboratory procedures.

Navigating these changes can be challenging, but you don’t have to do it alone. Join industry expert Jill Young, CEMA, CPC, CEDC, CIMC, for a comprehensive webinar that distills the latest information from the AMA’s November Symposium into actionable insights. Jill’s fast-paced, focused approach ensures you and your team are fully prepared for the year ahead.

What You’ll Learn:

From proprietary lab analyses to telemedicine advancements, this webinar provides in-depth coverage of the most impactful changes for 2025, including:

  • New Telemedicine Codes: Dive into 17 new options for audio-only and video visits.
  • Updated Vaccine & Genetic Screening Codes: Learn about enhanced codes for conditions like pneumococcal disease and hereditary cancers.
  • Category III Codes: Understand the role of temporary codes and their implications for your practice.
  • Surgical Revisions: Explore adjustments for allografts, arthroplasty, skin grafts, and tumor removal.
  • Remote Therapeutic Monitoring & Digital Medicine Updates: Gain clarity on editorial changes that impact coding and billing.

Register for Individual Sessions Here!

 

Session 2 - Mastering Hierarchical Condition Coding (HCC): A Pathway to Better Patient Outcomes and Revenue Integrity

Date: January 28, 2025 | Duration: 60 Mins | Time: 1 PM ET | Speaker: Jan Hailey

Join us for an in-depth, expert-led webinar designed specifically for healthcare professionals who want to enhance their understanding and application of Hierarchical Condition Coding (HCC) in today’s value-based care environment. Whether you're new to HCC coding or seeking to deepen your knowledge, this session provides practical insights to help transform your organization’s approach to risk adjustment, improve patient outcomes, and maximize revenue integrity.

In the fast-evolving healthcare landscape, many professionals struggle with accurate HCC coding—a critical element in risk adjustment within value-based care models. Misunderstandings surrounding HCC often lead to missed opportunities for proper reimbursement and enhanced patient care. Issues such as insufficient documentation, coding errors, and compliance risks can result in lost revenue and legal complications.

This expert-led session, conducted by Jan Hailey, MHL, CMC, CMCO, CMIS, CMOM, CMCA-E/M, will demystify the complexities of HCC coding and its essential role in Medicare Advantage and other value-based care programs. You will walk away with actionable tools and strategies to:

  • Enhance coding accuracy
  • Foster collaboration with healthcare providers
  • Ensure compliance while maximizing revenue

Webinar Highlights

  • The Core Principles of HCC and Risk Adjustment
  • Strategies to Improve Documentation Accuracy
  • Common Coding Errors and How to Avoid Them
  • How to Ensure Compliance with HCC Coding Guidelines
  • Best Practices for Cross-Functional Team Collaboration
  • Implementing Technology to Support HCC Accuracy and Efficiency
  • Practical Tips for Continuous Improvement in HCC

Register for Individual Sessions Here!

Session 3 - Navigating the 2025 Medicare Care Management Updates

Date: January 29, 2025 | Duration: 60 Mins | Time: 1 PM ET | Speaker: Toni Elhoms

Care Management services empower healthcare providers to monitor and support their patients in real time through advanced technology and remote communication tools. As the Centers for Medicare & Medicaid Services (CMS) continues to invest in and advocate for these programs, the emphasis remains on enhancing care quality, improving patient outcomes, and reducing hospital readmissions. The reimbursement and reporting guidelines for care management are increasingly intricate, with significant updates set for 2025.

This session by industry expert Toni Elhoms, CCS, CPC, CPMA, CRC, CEMA, AHIMA-Approved ICD-10-CM/PCS Trainer offers an in-depth analysis of the 2025 Medicare updates affecting care management services, clarifying the distinctions between various care coordination services available to providers. Participants will gain actionable insights to immediately enhance compliance and efficiency. Given the time-based nature of many care coordination services, accurate tracking is essential to ensure revenue cycle compliance.

Webinar Highlights

  • Review the 2025 Medicare Chronic Care Management (CCM) coding updates
  • Discuss CCM clinical documentation service requirements
  • Review the 2025 Medicare Principal Care Management (PCM) coding updates
  • Discuss PCM clinical documentation service requirements
  • Outline the key differences between CCM and PCM services
  • Review the 2025 Medicare Remote Patient Monitoring (RPM) coding updates
  • Discuss RPM clinical documentation service requirements
  • Review the 2025 Medicare Remote Therapeutic Monitoring (RTM) coding updates
  • Discuss RTM clinical documentation service requirements
  • Outline the key differences between RPM and RTM services for 2025
  • Discuss pertinent care management service modifiers for 2025

Register for Individual Sessions Here!

Who Should Attend

  • Coders
  • Billers
  • Office Managers
  • Administrators
  • Healthcare Quality Directors
  • Healthcare Providers
  • Billing Professionals
  • Revenue Cycle Managers
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