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Travel-friendly | Convenient | Self-paced

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.
  • The cost of shipping in the workbook is covered for addresses within the contiguous United State and takes approximately 5 business days*.

    Note: Not all courses include a physical workbook that will be sent to you. Some courses provide a downloadable PDF handbook instead. To find out if your selected course includes a workbook, please refer to the course overview.

    For shipping outside of the contiguous US, including Hawaii and Alaska, please email education@karenzupko for an estimated shipping cost and timeframe. Please be sure to provide the correct shipping address.

Register Today!


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.


Did you know…

As of 2023—the revised E/M guidelines are now extended to hospital inpatient, observation, and emergency department visits? Some service categories are going away entirely and others are being revised.  New parameters are being added to the criteria for medical decision making, and a new prolonged service code will be needed in the hospital setting.

It’s more important than ever to keep current with an understanding of new and existing codes which depend on coding accuracy.  The 2023 Otolaryngology surgical procedure coding course sifts through all that is new and important in Otolaryngology coding. This year’s agenda covers all you need to know to code and document accurately and efficiently in 2023 and beyond.


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. 


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.


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 6 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 E/M services and review case studies to sharpen your documentation skills. Office or outpatient services, Consultations, Emergency Department, and Hospital E/M services will be reviewed.

Medicare rules for Advanced Practice providers will be discussed including, incident-to, direct billing, and split shared services will be discussed.

You’ll learn interventional procedure coding for spine, joint, soft tissue, tendon, nerve block injections, PRP and more, 2023 changes to interventional procedure codes.

We will address reimbursement essentials such as Medicare rules—including bundling and CCI edits.

*You will have access to the content for 30 days from the time you receive the access information.
Please email if you have questions.


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.


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.

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