Why Attend a kza on-demand workshop?
- Learn at your own pace. Start and stop when it is convenient for you.
- With travel limitations, this is a great option.
- Receive the same great workbook and alumni resources.
- Workbook shipping is included in the price for addresses in the contiguous United States and takes approximately 5 business days*.
For shipping outside of the contiguous US, including Hawaii and Alaska, please email education@karenzupko.com for an estimated shipping cost and timeframe. Please be sure that you provide the correct shipping address at registration, there will be a space to enter the address if different than that of the payment address.
We strongly encourage you to wait to begin your course until your workbook has arrived.
*With congestion due to COVID-19, deliveries by Fed Ex and UPS are subject to delay.
Register Today!
OrthopaeDics
No matter how good you think things are going – they can be better. And, we at KZA can help you.
Whether you’re planning to stay in private practice or you are considering being acquired, merged, or employed – a better bottom line pays off. Don’t get stuck in TGE thinking – by the way, that stands for “That’s Good Enough.” Frankly, you and your practice are more valuable if sound processes are in place, documented, and followed.
This workshop is filled with assessments you can use to see how well the business office or your billing service is doing. We include assessments you can use when hiring billing managers and coders.
Join us for three fast-paced hours with information you can put into place that can improve your bottom line in 90 days.
Extended coverage of subspecialty coding content and case exercises to boost your confidence in common orthopaedic scenarios, including spine surgery basics. Learn to apply surgical modifiers to protect reimbursement and appropriately differentiate CPT rules from Medicare NCCI edits and guidelines. You’ll leave with awareness of reimbursement methodologies for bundled payment, and, of course, with the latest 2021 code changes and NCCI updates.
We’re one year into using revised E/M criteria in the office setting. We take an overview look at how code levels are selected under these AMA-defined changes. We cover in-depth how the AMA’s March 2021 Technical Corrections impact medical decision-making credit in orthopaedics. Last, we discuss appropriate use of E/M modifiers 24, 57, and 25 in the office setting.
This 2.5 hour virtual course analyzes the CPT E/M guidelines that apply to office new and established patient visits, presenting them in a distilled, understandable way. We break down and explain the restructured elements of Medical Decision Making and Time and demonstrate how they are applied using example scenarios.
In this session you will:
- Drill into the parameters of Medical Decision Making, and how the definitions of Problems Addressed, Data, and Risk come together to determine a level of service.
- Understand the nuances of how data credit is allowed (or not allowed), based upon information published by the AMA during 2021.
- Differentiate how Time is defined under the revised criteria, and what activities can be counted when selecting the level of service for codes 99202-99215.
- Take a detailed look at the definition of modifier 25 and how to defend against payor denials.
CMS made significant changes to its non-physician provider (NPP) billing rules in 2022. Dive into the intricacies of incident to, direct, and split/shared billing for Medicare claims, with a focus on applying the new CMS criteria.
This 1-hour on-demand course analyzes the NPP billing options for Medicare, with a detailed look at changes effective in 2022 that apply in orthopaedic practices.
In this session you will:
- Refresh your understanding of the definitions and criteria for incident to, direct, and split/shared billing.
- Compare CMS’s previous rules for split/shared reporting with what’s new in 2022.
- Learn about a new modifier CMS requires for split/shared services.
- Assess orthopaedic scenarios to practice applying these essential billing concepts.
ENT
Learning Objectives:
- Demonstrate comprehension of the difference between the 2020 E/M documentation requirements compared to the revised 2021 E/M documentation requirements.
- Demonstrate understanding of when to report consultation codes instead of other E/M codes to increase reimbursement when applicable.
- Report E/M services with modifier 25 compliantly.
- Distinguish the difference between the diagnostic endoscopy codes 31231, 31575 and 92511.
- Describe the documentation requirements for using the cerumen removal code, 69210, and when an E/M code may be separately reported.
- Apply E/M modifiers accurately.
- Describe the telehealth guidelines changes allowed during the public health emergency
- Identify key requirements for “incident to”, direct and shared/split billing non-physician practitioners (NPPs)
Whether you’re planning to stay in private practice or you are considering being acquired, merged, or employed – a better bottom line pays off. Don’t get stuck in TGE thinking – by the way, that stands for “That’s Good Enough.” Frankly, you and your practice are more valuable if sound processes are in place, documented, and followed.
This workshop is filled with assessments you can use to see how well the business office or your billing service is doing. We include assessments you can use when hiring billing managers and coders.
Join us for three fast-paced hours with information you can put into place that can improve your bottom line in 90 days.
We will delve into the global period including coding for pre-op and post-op visits. Next you’ll learn how to select surgery modifiers that optimize payment and reduce risk.
Then we will jump into 4.5 hours of surgical procedure coding including code changes in Otology/Neurotology, Rhinology, and Facial Plastics. Learn the latest coding, billing and reimbursement strategies for new technology in ENT procedures. Finally, we’ll end the day with ancillary services including audiology, allergy and in office CT.
GENERAL SURGERY
One year later we look at the problems and solutions in re-configured outpatient E/M codes.
This course analyzes the CPT E/M guidelines that apply to office new and established patient visits, presenting them in a distilled, understandable way. We’ll break down and explain the restructured elements of Medical Decision Making and Time and demonstrate how they are applied using example scenarios.
When surgeons treat patients in the Emergency Department, on observation and inpatient units—code selection and documentation are key. In order to be paid, you need to select the right type of service (category of code) and level of service describing the care you provided and documented. Selecting the wrong type of service leads to denials. Selecting the wrong level of service can lead to audits or under payments. While observation and inpatient services can be based on the key components or time, ED visits must be coded based on the key components. Learn when it is beneficial to use time in code selection, and how to document it. Join us to learn what you and your coders need to know about correct coding for hospital E/M services.
The guidelines for billing Critical Care Services were updated in Medicare’s final 2022 Medicare Physician Fee Schedule. In this course led by consultant Teri Romano, BSN, MBS, CPC, CMDP, we will delve into what’s new and clear up some of the confusion on topics like split/shared services, the global period, and more. We will also discuss the new modifiers FS and FT and what has changed with concurrent care..
This on-demand course analyzes the critical care rules for Medicare, with a detailed look at changes effective in 2022 that apply to you.
Coding for procedures done in your office depends on understanding the criteria for the procedure supported by surgeon-friendly templates to capture essential documentation. Surgeons commonly excise lesions, perform biopsies, and do laceration repairs in their office and other outpatient settings. Often, EHR templates fail to prompt you to document key information to support the code. When insurers ask for records or you file an appeal—the missing details result in no payment. This session walks you through examples of solid documentation for office procedures and appropriate use of modifier -25 and discusses diagnosis coding that establishes medical necessity for the service.
The ACS surgical procedure coding course sifts through all that is important in general surgery coding and packs it into an intensive, fast-paced six and a half hours. This agenda covers all you need to know to code and document accurately and efficiently in 2021 and beyond.
Real-life cases and discussions that link clinical procedures to the selection of CPT codes make this course ideal for surgeons and coding staff. Forget boring slides and a mind-numbing list of CPT codes. This course is rich with clinical scenarios and a comprehensive workbook that will become your first-response coding resource.
The course provides in-depth and interesting instruction on coding for endoscopy, colorectal, breast, hernia, appendix, gall bladder, liver, intraabdominal tumor, pancreatic, and endocrine procedures.
The course describes why documentation is as essential as the code selected and how to capture all potential revenue by improving your notes. We’ll show you the correct way to use surgical payment modifiers so that you optimize payment. You’ll leave armed with ideas and techniques for setting up systems that reduce denials and increase successful appeals.
DERMATOLOGY
The Course
This 3-hour course analyzes the 2021 CPT E/M guidelines and presents them in the distilled understandable format for which KZA is known. Building on what providers are currently doing, the restructured elements of Medical Decision Making and Time are broken down and explained.
There will be “hands on” coding of E/M notes as well as plenty of time for Q&A. Participants will have the opportunity to cement understanding and leave empowered with a “To Do List” for successful transition.
Documentation Tips
We will provide you with key documentation tips to optimize your coding and documentation. These tips can assist in building your electronic health record templates to adequately address the Medical Decision Making that takes place during an office visit. They will be used during the course to cement education points to prevent inadequate documentation.
Audit Tool
The audit tool is an edited version of the CPT guidelines restructured for easy use and education. The course will use the tool to review notes and ‘score” them based on the MDM that is documented.
- Gain a greater understanding of the overall 2021 changes to E/M, including the subtle nuances and reasons behind the revisions
- Understand the revised times and Medical Decision Making processes for all office-based E/M codes starting Jan. 1, 2021
- Learn what the performance of history and exam “only as medically appropriate” means
- Learn what activities can be counted when selecting the level of service based on time for 2021 office-based services
- Understand revisions to code descriptors for 99202-99215 and which codes have been deleted
- Understand the role of ancillary staff with the “patients over paperwork” theme throughout the new coding process
Note: This course does not cover existing E/M guidelines which will be used, in 2021, for office consultation codes (9924x) and inpatient service codes.
Learning Objectives
- Name three elements required for Medical Decision Making in 2021 for new and established patient visit Evaluation and Management (E/M) codes.
- Differentiate Time ranges and requirements in the current and 2021 E/M guidelines.
- Apply the correct guidelines depending on the category of E/M service.
INTERVENTIONAL PAIN
Pain management is a complex field, and providers face intense scrutiny from many payors.
Whether performed in-office or in the ASC, most pain procedures are subject to detailed and restrictive coverage policies. Physicians who remain unaware of these policies risk denials, revenue loss, and potential audits and paybacks.
This intensive 7 module webinar series covers the most critical issues for this unique specialty. It’s packed with the knowledge and tools providers and their staff need to understand payor policies, get paid accurately, and improve the bottom line.
Using examples of payor coverage policy samples for pain treatment, we will show you how to incorporate payor policy guidance into your daily practice. You will learn how to dissect the clinical criteria to create the must-have documentation to justify coverage.
You will get an overview of ICD-10-CM coding for pain management to support medical necessity for the services you provide and ensure you are reporting your diagnoses accurately.
You’ll get an update on 2021 E/M services and review case studies to sharpen your documentation skills. Consultations, Emergency Department, and hospital E/M services will be reviewed.
You’ll learn interventional procedure coding for spine, joint, soft tissue, tendon, nerve block injections, PRP, and more, 2022 changes to interventional procedure codes, including new genicular nerve codes. We will address reimbursement essentials such as Medicare rules—including bundling and CCI edits.
Please email education@karenzupko.com if you have questions.
Plastic Surgery
NEUROSURGERY
The 2020 AANS Managing Coding & Reimbursement Challenges in Neurosurgery course has been serving the neurosurgical community for more than 20 years. It provides a valuable coding and reimbursement education that is unique in neurosurgery. The course is instructed by a faculty of physician experts and coding consultants who are leaders in code development, revision and valuation of CPT.
VASCULAR SURGERY
Information on our 2020 on-site comprehensive vascular ICD-10 and coding and reimbursement workshops is coming soon! In the meantime, email us or call 312-642-5616 with any questions.
WEBINARS