Clinical Webinars

Update in Evaluation and Management E/M Office Visit Coding for Family PACT Services

May 5, 2021

The CPT rules for the use of problem-oriented E/M office visit codes changed significantly on January 1, 2021. Since then, office visits are coded based on levels of medical decision-making or “total time” and the prior rules for using the “three key components” no longer apply. Consequently, Family PACT E/M coding policies were updated in February 2021, as well as the publication of a new policy on coding and billing for counselor services.

Learning Objectives:

  1. List at least six activities that can be counted in the “total time” of a visit when computing E/M level
  2. List each of the 3 elements used in medical decision-making, and give examples of each
  3. Describe the Family PACT policy for coding for a clinician visit and counselor services on the same date of service

Presenter:

  • Michael Policar, MD, MPH

Resources:

Providing Family PACT Services During COVID-19 Part 2: Understanding Benefit Changes

September 17, 2020

The ongoing COVID-19 public health emergency has caused a shift from providing exclusively in-person services to a combination of remote and in-person visits, referred to as “hybrid visits”. This webinar will provide an update of how Family PACT services (client encounters) have changed since March, 2020, focusing on the Medi-Cal/Family PACT policy for telephonic-only remote visits. A series of case studies will be presented including contraceptive visits, evaluation of genital tract infections, well person visits, and a colposcopy visit, with an emphasis on coding and billing Family PACT. There will be ample time for you to ask questions about both clinical issues and Family PACT coding and billing policies.

Presenters:

  • Michael Policar, MD, MPH

Resources

Implementing the 2019 ASCCP Risk-Based Management Guidelines for Abnormal Cervical Cancer Screening Tests in Your Practice

July 23, 2020

The long-awaited new ASCCP Management Guideline App is now available, as well as the print version of the 2019 Guidelines. The new guidelines are streamlined for ease of use and can be significantly more individualized than the 2012 guidance by integrating information about an individual’s previous screening test and biopsy results, and personal factors such as age and immunosuppression. The guidelines now provide recommended follow up for all 3 available cervical screening strategies. This webinar will briefly explain the rationale used in developing the Guidelines, discuss how various abnormalities should be managed, and provide interactive demonstrations of how to use the app. In addition, specific considerations for the application of Family PACT benefits, including coding and billing, will be discussed. Learning objectives: At the end of this session, the learner will be able to:

1) Describe the risk-based paradigm for managing abnormal cervical cancer screening test results.

2) Explain how risk-thresholds guide the clinical actions of immediate treatment, colposcopy, and short-interval follow up.

3) Demonstrate use of the ASCCP app to apply the new guidelines to patient care.

Presenters:

  • Patty Cason, RN, MS, FNP-BC
  • Michael Policar, MD, MPH

Resources

Providing Family PACT Services During COVID-19 Part 1: Clinical Considerations

May 8, 2020

Since March 2020, most providers of family planning services in California have shifted patient care from in-person visits to remote visits. This webinar will be conducted in a “frequently asked questions” format, focusing on the adaptations that clinicians should make in order to successfully provide family planning care remotely during the public health emergency and afterward.

Subjects will include the role of blood pressure measurement before prescribing combined hormonal contraception, the use of injectable birth control subcutaneous depot medroxyprogesterone acetate (DMPA-SQ), syndromic treatment of sexually transmitted infections, pregnancy testing without a clinic visit and others. Recently enacted Family PACT and Medi-Cal policies regarding telehealth visits and remote enrollment of clients into the Family PACT program will be discussed. Ample time will be available for the audience to submit questions and to share information about the adaptations that you have been implementing at your clinic.

Presenters:

  • Michael Policar, MD, MPH
  • Jennifer Karlin, MD, PhD

Resources

Clinical Practice Alert: Cervical Cancer Screening and Emergency Contraception

March 24, 2020

This webinar features two new Family PACT Clinical Practice Alerts.

Cervical Cancer Screening

Topics in this portion of the webinar will include benefits through Family PACT that have been expanded to include high-risk HPV-alone screening, use of this test, alternative cervical cancer screening options, and new guidelines regarding cervical cancer screening for females who are HIV positive or who are immunocompromised.

Emergency Contraception

Topics in this portion of the webinar will include the relationship between body weight and emergency contraception failure rates, when oral contraceptives can be started with females who have used ulipristal acetate, options for accessing emergency contraceptive pills and the use of the copper IUD as emergency contraception.

Presenters will also address your clinical questions, as well as your questions about Family PACT benefits related to these topics.

Presenters:

  • Michael Policar, MD, MPH
  • Nicole Economou, MD

Resources

Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment

June 20, 2019

Rates of sexually-transmitted diseases (STDs) such as chlamydia trachomatis (CT) and gonorrhea (GC) have reached an all-time high. In the U.S., California leads the nation in reported cases of these STDs. Because persons with CT and GC are often asymptomatic, screening is essential for the early detection and treatment that can prevent reproductive complications including pelvic inflammatory disease (PID), tubal infertility, ectopic pregnancy, and chronic pelvic pain in females and epididymitis in males. Join us for a webinar to learn about current clinical guidelines for routine and targeted screening, treatment, follow-up, and prevention of CT and GC.

After the webinar, providers will be able to:

  • Understand current guidelines for screening for CT and GC among sexually active women and men
  • List the indications for anorectal and oropharyngeal CT/GC screening
  • Explain when test-of-cure is indicated
  • Identify the proper ICD-10 codes for lab requests and billing information

Presenters:

  • Ina Park, MD, MS
  • Michael Policar, MD, MPH

Resources:

Pain Management: Tips, Tricks, and Evidence

February 5, 2019

Patients often experience varying levels of pain or discomfort from procedures performed during family planning visits. The purpose of this webinar is to provide clinicians with evidenced-based tips, tricks, and strategies on how to prevent and minimize pain during family planning procedures.

The webinar focuses on the most commonly performed family planning procedures such as: IUD insertion/removal, implant insertion/removal, colposcopy, biopsy, and vulvar biopsy. Less common procedures for non-gynecologists such as LEEP, cryo, and procedures not covered by the Family PACT Program are not discussed.

The following topics are covered in detail:

  • Three components and factors associated with procedure pain and strategies to alleviate discomfort
  • Four examples of trauma-informed care practices for family planning clients
  • Three examples of ways to use patient-centered language during pelvic exams
  • Considerations for administering and providing the appropriate level of local anesthetic
  • Pain management for family planning procedures

Presenter:

  • Karen Meckstroth, MD, MPH

Preventing and Managing IUD Complications

October 4, 2018

The purpose of the webinar is to provide clinicians who are doing IUD placements with advanced skills to prevent and manage the uncommon complications that can occur with the placement and use of IUDs. It consists of case studies that detail the management of difficult IUD placements owing to cervical stenoisis, morbid obesity, and vasovagal syncope. Management of IUD complications, including uterine perforation, tenaculum site injuries, and post-IUD placement infection will be discussed. The work-up and management of the patient with a “missing” IUD string, including variants of malpositioned IUDs and intrauterine pregnancy with an IUD in place, are explained as well.

The following topics are covered in detail:

  • Maneuvers that can be performed to improve the likelihood of successful placement in morbidly obese patients
  • Techniques to avert vaso-vagal episodes and 4 sequential steps in the management of a vaso-vagal syncope
  • The most common predisposing factors for uterine perforation with IUD placement
  • Causes of a “missing” IUD string and how each is managed
  • Management of post-IUD placement pelvic inflammatory disease

Presenter:

  • Michael Policar, MD, MPH

Resources:

The Evolving Well Woman Visit

April 26, 2018

The contents of the well-woman visit have changed significantly in the past decade, such that many screening tests are performed in modified age groups and at different screening intervals. This webinar will review the well-woman health screening recommendations published by the California Department of Public Health (CDPH), U.S. Preventive Services Task Force (USPSTF), American College of Obstetrics and Gynecology (ACOG) and other national organizations.

The following topics are covered in detail:

  • Reproductive goals counseling
  • Use of newer cervical cancer screening technologies
  • Utility of screening clinical breast exams and screening pelvic exams
  • Coding for well-woman visits

Presenter:

  • Michael Policar, MD, MPH

Resources:

Family Planning Minute – Insurance Affordability (Providers)

August 19, 2016

Are you a Family PACT provider with patients struggling to afford health insurance? Learn more about how you can help clients apply for affordable low or no-cost health insurance options through Covered California. It is the market place where clients can shop and compare health insurance plans and even find out if they qualify for discounts for private insurance. Help make sure your clients get the coverage they need to access the care they deserve.

For more information visit:

Covered California

Zika Virus: Implications for Family Planning

June 29, 2016

The Zika virus is an emerging concern for the health of women who are pregnant or may become pregnant. This webinar discusses the unique role that providers play in keeping women healthy.

The following health concerns of the Zika virus are covered in detail:

  • The epidemiology, transmission, and implications for women’s family planning needs for Zika virus
  • Use principles of shared decision-making to counsel women at risk of Zika infection about family planning options
  • Review resources for family planning clinicians about the Zika virus

Presenter:

  • Dominika Seidman, MD, MAS

Emergency Contraception

May 6, 2016

Learn the answers to the most commonly asked questions about emergency contraception and the science behind them.  Stay updated and learn about their effectiveness, how to get them, when to use them, and what to do afterwards for long term contraception.

Presenter:

  • Michael Policar, MD, MPH

Same-Day Placement of LARC: Solutions to Common Barriers

March 24, 2016

Long-acting reversible contraceptives (LARCs) have long been one of the most popular and most effective forms of contraception for women. They require little to no maintenance, women can get it inserted on the same day as their doctor’s visit, and depending on the options, are good for 3-10 years. The webinar addresses the health concerns and barriers of LARCs and how to overcome them.

The following topics are covered in detail:

  • Bleeding changes associated with each LARC method
  • Familiarity with use of the U.S. Medical Eligibility Criteria for Contraceptive Use
  • Testing required prior to LARC placement
  • Barriers and solutions to same-day placement of LARC methods

Presenter:

  • Patty Cason, RN, MS, FNP-BC

Shared Decision Making in Contraceptive Counseling

December 15, 2015

The relationship between providers and patients is important to maintain good health. Communication is a crucial factor that can affect outcomes such as preventive care, in terms of contraception options and medication adherence. This relationship is essential to providing information about diagnoses and treatment plans, as well as ensuring that patients are staying well-informed and supported.

The following topics are covered in detail:

  • Evidence for shared decision making in contraceptive counseling
  • Best practices for engaging in shared decision making with clients choosing a contraceptive method
  • Potential provider biases that may influence contraceptive counseling and the role of shared decision making in addressing these biases
  • Solutions to potential barriers to the implementation of shared decision making, including limited time in the clinical encounter

Presenter:

  • Christine Dehlendorf, MD, MAS