POWER YOUR PRACTIC

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Ignite

Your E

/M C

oding

CPT Power Coding

Rock St

ar Rev

enue Cycle

coding and revenue cycle workshops

2020ON-DEMAND

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ADVISING PHYSICIANS TO SUCCEED IN THE BUSINESS OF MEDICINE FOR 35 YEARS. We don’t just “teach it” we “do it.”

Karen ZupkoPresident

KarenZupko & Associates, Inc. (KZA) is a consulting and education firm that advises physicians and healthcare organizations to increase revenue, optimize efficiency, reduce risk, and improve the patient experience.

Our firm specializes in practice management, revenue cycle improvement, and coding and documentation review. Our education and training programs teach physicians and staff how to correctly code, and manage a successful and profitable practice.

CORE services• Practice Evaluation

• Revenue Cycle Assessment

• Practice Check-Up

• Coding and Documentation Review

• Coding and Documentation Education

• RVU Analysis for Fees, Contracts, and Compensation

MEET Your Instructors

Kim PollockRN, MBA, CPC, CMDPConsultant and Speaker

Amy AndersonMBA

Consultant and Speaker

Cheyenne BrinsonMBA, CPA

Consultant and Speaker

Deborah GriderCDIP, CCS-P, CPC, CPC-I, CPC-P,

COC, CEMC, CPMAConsultant, Author and Speaker

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WHO Should Participate?• Physicians

• Non-Physician Providers

• Billing Managers

• Coding/Billing Staff

• Administrators

• Revenue Cycle Directors

WHY PARTICIPATE IN AN ON-DEMAND KZA Workshop?

UNPARALLELED Otolaryngology Coding ExpertiseKZA's nationally recognized coding experts have delivered coding education to national and regional otolaryngology societies, administrator and nursing societies, the American Academy of Otolaryngic Allergy, and the American Academy of Facial Plastic and Reconstructive Surgeons. We provide on-site and remote otolaryngology coding education, review hundreds of otolaryngology records annually, and consult with dozens of ENT practices each year.

NUANCED for Your SpecialtyYou’ll learn from dozens of otolaryngology case scenarios and exercises in our expanded sections as well as the all-new content on technology in ENT procedures. We’ve included a deep dive into the E/M changes for 2020 and 2021. And, Rock Star Revenue Cycle takes a fresh approach to improving the performance of your revenue cycle.

ENGAGING InstructorsYou still have the opportunity to interact live with the instructors for a subsequent 1-hour Q&A session.

PRACTICAL Material ─ Not Just SlidesOur workbooks feature exercises, checklists, resource guides, templates, and samples. We give you the tools you need to facilitate change in your practice.

What keeps you coming back? "Survival and success in my medical practice."—Richard Beck, MDAdvanced OtolaryngologyJacksonville, FL

• Learn at your own pace. Start and stop when it is convenient for you.

• Since none of us can travel, this is a great option.• Receive the same great workbook and alumni resources.• Interact live with the instructors for a subsequent 1-hour Q&A

session – two options available per month.• Earn CME or CEU credit hours with the completion of an

evaluation and online test.• Receive your essential workbook approximately four business

days after you register.

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WHAT'S NEW:• E/M Coding for:

◦ Smoking Cessation

◦ Prolonged Services

◦ Telephone Calls

◦ Team Conferences

◦ Chronic Care Management

• 2021 E/M Code Changes—Get Ready Now!

◦ For once, we have early information about new coding guidelines and code changes! CPT and CMS agree on something: “Patients over Paperwork.” Big changes to the new patient (9920x) and established patient (9921x) codes! You’ll learn about these changes now so you can prepare providers and create templates for what’s required starting 1/1/21! Don’t delay—there’s real work to do!

Ignite Your E/M Coding

WHO should participate:• Physicians

• Non-Physician Providers

• Billing Managers

• Coding/Billing Staff

• Administrators

• Revenue Cycle Directors

What keeps you coming back? "KZA is specific to ENT and provides the most current CPT changes and teaches our clinic how to obtain the highest level of reimbursement."—Teresa CampbellPractice ManagerENT Physicians of North MSTupelo, MS

Our dual focus is on E/M coding principles for 2020 while preparing you for the comprehensive CPT and CMS E/M changes for 2021. You will dive into correct E/M coding for 2020 as well as 2021 and compare the documentation requirements for each year.

We will also refresh your knowledge of non-physician provider coding to include CPT’s first-ever mention of shared/split coding and discuss how to accurately apply E/M modifiers, including 24, 25, and 57.

LEARNING objectives:As a result of participating in this course, participants will be able to:

• Describe the necessary key components of Evaluation and Management (E/M) codes.

• Demonstrate comprehension of the difference between the 2020 E/M documentation requirements compared to the new 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 differences 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.

• Identify key requirements for “incident to,” direct, and shared/split billing non-physician practitioners (NPPs).

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AGENDA Evaluation and Management Coding and Documentation 1.5 hours

• Overview of E/M Codes• Categories of E/M Codes

◦ When to report an outpatient/office consultation code (9924x) – yes, some payors still reimburse for these codes!

◦ New patient (9920x) ◦ Established patient (9921x) ◦ Emergency department (9928x) ◦ Inpatient consultation (9925x) ◦ Initial hospital care (9922x) ◦ Subsequent hospital care (9923x) ◦ Discharge (99238, 99239) ◦ Observation services (99217, 99218-

99220, 99224-99226, 99234-99236)

• Levels of E/M Codes ◦ History ◦ Examination ◦ Medical decision making

• Category + Level = E/M Code• Using Time to Select a Code

E/M Modifiers .5 hours• Modifiers 24• Modifier 25

◦ E/M and procedure on the same day ◦ Removal of impacted cerumen (Note: cerumen removal will NOT be discussed

during the Saturday course) ◦ Diagnostic Endoscopies: nasal endoscopy, flexible laryngoscopy,

nasopharyngoscopy• Modifier 57

Break

Other E/M Codes NEW! .25 hours• Smoking Cessation• Prolonged Services• Telephone Calls• Team Conferences• Chronic Care Management

Don’t miss out onopportunities to report

these services!

2021 E/M Code Changes – Get Ready Now! NEW! .75 hours

For once we have early information about new coding guidelines and code changes! CPT and CMS agree on something: “Patients over Paperwork.” Big changes to the new patient (9920x) and established patient (9921x) codes! You’ll learn about these changes now so you can prepare providers and create templates for what’s required starting 1/1/21! Don’t delay – there’s real work to do!

CMS Guidelines: Non-Physician Practitioner (Nurse Practitioner, Physician Assistant)

.75 hours

Adjournment

Ignite Your E/M Coding2020 CME CREDIT FOR PHYSICIANS:

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CPT Power CodingWe 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.

New for 2020: 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.

LEARNING objectives:As a result of participating in this course, participants will be able to:

• Choose surgery modifiers that optimize payment and reduce risk.

• Use surgery coding that meets CPT rules and government regulations for commonly performed procedures.

• Integrate ENT subspecialty coding principles in otology/neurotology, rhinology, laryngology, facial plastics, head and neck surgery, and sleep surgery.

• Demonstrate comprehension on how to code for new ENT technology procedures.

• Apply new and revised otolaryngology CPT codes into your practice.

WHAT'S NEW:• Coding for new technology in ENT procedures

• Deletion of the abdominal fat graft code and what to use now

• Revised codes and guidelines in Rhinology

• Revised guidelines in Facial Plastics

• Revision of posturography code

• USP 797 requirements and what it means to your practice

WHO should participate:• Physicians

• Non-Physician Providers

• Billing Managers

• Coding/Billing Staff

• Administrators

• Revenue Cycle Directors

NOTE: The CPT Power Coding course does not discuss cerumen removal. It is covered in Ignite Your E/M Coding.

"Best coding and reimbursement workshop I've attended. " —Edward Engle, MDNJ Regional Ear, Nose and ThroatSacramento, CA

"In this really revolutionary era in which we practice medicine, having an ally who truly has your practice's best interest at heart is rare. The staff at KZA speaks the language of our specialty." —Thomas Stark, MDThomas W Stark, MD PLLCMontgomery, TX

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AGENDA The Global Surgical Package .25 hours

• What’s included in a CPT code and what can you separately report• Coding for pre-op visits, post-op visits related to the procedure, post-op visits

unrelated to the procedureUsing Modifiers to Get Paid .75 hours

• Commonly used modifiers in an ENT practice – when to use them and how they impact reimbursement

• Modifiers 22 (increased service) vs. 52 (reduced service) vs. 53 (discontinued procedure)

• Modifiers 50 (bilateral procedure) and 51 (multiple procedures)• Unravel the confusion between modifiers 51 vs. 59 vs. Medicare’s X- modifiers.• Performing a procedure when you’re already in a global period – is it included

in the global period you’re already in or can it be separately reported? Using modifiers 58 (staged/anticipated procedure), 78 (unplanned procedure) and 79 (unrelated procedure)

• Explanation of the assistant surgeon (80, 82) vs. co-surgeon (62) modifiers• KZA’s “quick guide” to surgery code modifiers

Surgical Procedure Coding .75 hours• Using an Unlisted Code• New Technology Procedures in

Otolaryngology ◦ Eustachian tube dilation,

automated tympanostomy tube delivery, nasal lesion ablation, minimally invasive procedures for nasal vestibular stenosis: learn the latest on coding, billing and reimbursement strategies

• Otology/Neurotology ◦ Microscope codes,

tympanostomy tubes, intratympanic injection, Epley maneuver, mastoid debridement, tympanic membrane repair procedures, mastoidectomy, cochlear implant, repair of semicircular canal dehiscence, excision of acoustic neuroma/vestibular schwannoma

◦ NEW IN 2020: the abdominal fat graft code was deleted – what to use now

• Rhinology ◦ Epistaxis control, inferior turbinate

procedures, endoscopic sinus surgery, endoscopic sinus debridement, endoscopic sinus catheterization, endoscopic orbital/optic nerve decompression, repair of nasal vestibular stenosis

• Laryngology/Airway ◦ Flexible laryngoscopy procedures

including laser ablation, tracheostomy and tube change, Botox injections, thyroplasty

• Facial Plastics ◦ Coding for skin biopsy and lesion

removal, wound/laceration repairs, adjacent tissue transfer, paramedian forehead flap, split and full thickness grafts, repair of nasal vestibular stenosis

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AGENDA Surgical Procedure Coding (continued)

• Head and Neck ◦ Frenotomy/frenectomy, fine needle aspiration, diagnostic head/neck

ultrasound, tonsillectomy/adenoidectomy and postop bleed scenarios, direct laryngoscopy, bronchoscopy, esophagoscopy, tongue biopsies, lymph node procedures, thyroidectomy/parathyroidectomy, parotidectomy, glossectomy, laryngectomy, skull base surgery (open and endoscopic endonasal), pituitary tumor removal

• Sleep Surgery ◦ Sleep endoscopy, hyoid suspension, tongue base reduction, soft palate implant,

hypoglossal nerve stimulatorBreak

Surgical Procedure Coding (continued) .5 hours

Surgical Procedure Coding (continued) 1.25 hours

Break

Surgical Procedure Coding (continued) 1 hour

Ancillary Services 1 hour• Audiology – Billing/supervision guidelines, audiogram, tympanogram, ENG,

audiologists billing E/M codes, posturography• Allergy – Testing, immunotherapy including SLIT, billing supervision guidelines,

the latest on USP <797> requirement implementation• In-office CT – Global vs. professional and technical component coding, Medicare’s

Appropriate Use Criteria (AUC) for advanced diagnostic imaging services

Adjournment

CPT Power Coding

"I always look forward to these courses. Kim Pollock is top notch and so informative. I trust these courses for so much new coding practice. "—Vickie Massullo, Office ManagerPottsville ENTPottsville, PA

What keeps you coming back?"To stay on top of all CPT changes in order to get the most reimbursement for our clinic. " —Teresa Campbell, Practice ManagerENT Physicians of North MississippiTupelo, MS

2020 CME CREDIT FOR PHYSICIANS:

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Has your revenue cycle team achieved rock star status? Have you recently

examined the steps in your revenue cycle? This workshop shows you how to

see the revenue cycle through the eyes of a consultant and examine and avoid

the pitfalls commonly seen in otolaryngology practices/departments. This

session is fast paced and interactive and explores case studies of successful,

high-functioning revenue cycle teams and how to incorporate those principles

into your practice.

Rock Star Revenue Cycle

WHAT'S NEW:• A fresh approach to improving the performance of your

revenue cycle• “Perspectives from the field”—KZA consultants share their

newest solutions to problems you likely have.• Field-tested advice: KZA will share our before-and-after

success stories.• A more interactive approach—we’ll examine case studies.

WHO should participate:• Physicians (Employed* and in Private Practice)

• Billing Managers

• Billing Staff

• Revenue Cycle Directors

• Administrators

*Employed physicians: High productivity isn’t everything: your employer must get paid for services in order to support your salary. Savvy, employed otolaryngologists routinely review billing office reports and keep abreast of payment issues. This workshop shows you how.

Coding and billing professionals will find that this session sharpens their overall understanding of and ability to advance the practice’s financial improvement. Every member of the team will benefit from an expanded understanding of how the revenue cycle should function as a whole. What would a 10% improvement mean to your bottom line?

LEARNING objectives:As a result of participating in this course, participants will be able to:

• Craft a strategy to avoid common denials.

• Develop a work plan that reduces A/R in 90 days.

• Identify workflow improvements that speed up the revenue cycle.

• Create productivity standards for the revenue cycle.

"Anyone who tells a physician “We are going to let you practice medicine and not worry about administrative hassles” is trying to take advantage of the practice. KZA is one of the few colleagues who has the doctor’s offices’ interest at heart. Their advice is not always easy to hear, but is vital."—Thomas Stark, MDThomas W Stark, MD, PLLCMontgomery, TX

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AGENDA What's in Your A/R 2 hours

• Case study in using reports to identify problem areas in the revenue cycleFront End Process Improvements

• Case studies in proven tactics for patient registration, insurance verification, referrals, and the collection of patient-responsibility payments

Doctors, We Need Your Help• 5 ways doctors help reduce denials • Documentation matters

Break

Deeper Dive Into Denials 1.75 hours• Real world solutions to work

common ENT denials• Sending successful appeals

Non-Covered Services • Setting fees for unlisted codes • Collecting from patients for Absorbable Nasal Implants, and other non-covered

servicesUnpaid A/R

• Best practice A/R strategies• Case study in using automated work

queues

• How to develop an A/R clean-up workplan

Measuring Success • Setting productivity standards• Monitoring key metrics

Adjournment

Rock Star Revenue Cycle

Excellent with great resources. Why KZA?—because there is always change!" —Ruth Landrum, AdministratorAdministratorLandrum ENTAda, OK

"Excellent speaker! She is very knowledgeable in revenue cycle and it's apparent she loves what she does."—Amy LoundsAdministrator Naples, FL

2020 AAPC ACCREDITATION:

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Payment Method (Course fees are tax deductible):Check (made payable to Karen Zupko & Associates, Inc.)

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2020 ENTcoding and revenue cycle workshops

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WorkbooksYou will receive a physical workbook(s) approximately four business days after you register. Workbooks will be shipped via FedEx to the address(es) provided in the order. If staff will be viewing from home, please indicate where the workbooks should be sent.

Technical SupportTechnical support will be available through the platform Monday - Friday from 9:00am - 5:00pm Eastern.

Register Today: To ensure a place for you and your staff, visit:

Online www.karenzupko.com (faster service)

Phone 312-642-8310

Fax 312-642-5571

Email Form information@karenzupko.com

Mail 625 N. Michigan Ave. Suite 525Chicago, IL 60611

2020 Course Fees

PACKAGE PRICE

Ignite Your E/M Coding $625

CPT Power Coding $925

Ignite Your E/M Coding + CPT Power Coding Combo (Your best deal!) $1299

Rock Star Revenue Cycle $395