POWER YOUR PRACTIC

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Ignite

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/M C

oding

Rock St

ar Rev

enue Cycle

CPT Power Coding

coding and revenue cycle workshops

2020

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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

Betty A. HoveyCCS-P, CPC, CPMA, CPCD, CPB,

COC, CPC-I, CDIPConsultant, Author, and Speaker

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 Attend?• Physicians

• Non-Physician Providers

• Billing Managers

• Coding/Billing Staff

• Administrators

• Revenue Cycle Directors

WHY ATTEND KZA Workshops?

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, Friday’s Rock Star Revenue Cycle takes a fresh approach to improving the performance of your revenue cycle.

ENGAGING InstructorsOur team uses case examples and stories, facilitating lively discussion for an interactive learning experience that benefits everyone.

PRACTICAL Take-Home 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

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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!

FRIDAY AM Ignite Your E/M Coding

WHO should attend:• 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 attending this course, attendees 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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MAINTENANCE OF CERTIFICATION (MOC):

AGENDA Check-in and Breakfast (provided) 7:15am-8:00am

Evaluation and Management Coding and Documentation 8:00am-9:30am• 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• Medicare’s Relative Value Units

for E/M Codes

E/M Modifiers 9:30am-10:00am• Modifiers 24• Modifier 25

◦ E/M and Procedure on the Same Day ◦ Cerumen Removal (Note: cerumen removal will NOT be discussed during the

Saturday course) ◦ Diagnostic Endoscopies: Nasal Endoscopy, Flexible Laryngoscopy,

Nasopharyngoscopy• Modifier 57

Break 10:00am-10:15am

Other E/M Codes NEW! 10:15am-10:30am• 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! 10:30am-11:15am

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)

11:15am-12:00pm

Adjournment 12:00pm

FRIDAY AM Ignite Your E/M Coding

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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.

FRIDAY PM 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 attend:• 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 attending this course, attendees 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 team.

"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 INTERACTIVE SESSION 1:00pm-3:00pm

• 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 3:00pm-3:15pm

Deeper Dive Into Denials 3:15pm-5:00pm• Real world solutions to work

common ENT denials• Sending successful appeals

Non-Covered Services 3:15pm • 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 5:00pm

FRIDAY PM Rock Star Revenue Cycle Strategies

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

MAINTENANCE OF CERTIFICATION (MOC):

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SATURDAY CPT Power CodingIn the morning, 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.

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 attending this course, attendees 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:As a result of attending this course, attendees will be able to:

• 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 attend:• Physicians

• Non-Physician Providers

• Billing Managers

• Coding/Billing Staff

• Administrators

• Revenue Cycle Directors

NOTE: The Saturday course does not discuss cerumen removal. It is covered in Friday's workshop, 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 Check-in and Breakfast (Provided) 7:15am-8:00am

The Global Surgical Package 8:00am-8:15am• 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 8:15am-9:00am

• 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 9:00am-9:45am• Using an Unlisted Code• New Technology in ENT Procedures

NEW! ◦ 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 ◦ Control of epistaxis, intranasal

removal of polyps, inferior turbinate procedures, endoscopic sinus surgery

◦ NEW IN 2020: guidelines revised, endoscopic sinus catheterization

◦ NEW in 2020: codes revised, endoscopic orbital decompression

◦ NEW in 2020: codes revised, pituitary tumor removal

• 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 ◦ NEW IN 2020: guidelines

revised, adjacent tissue transfer, paramedian forehead flap, split and full thickness grafts, repair of nasal vestibular stenosis

SATURDAY CPT Power Coding

2020 CME CREDIT FOR PHYSICIANS:

MAINTENANCE OF CERTIFICATION (MOC):

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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

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

hypoglossal nerve stimulatorBreak 9:45am-10:00am

Surgical Procedure Coding (continued) 10:00am-11:30am

Lunch 11:30am-12:30pm

Surgical Procedure Coding (continued) 12:30pm-1:45pm

Break 1:45pm-2:00pm

Surgical Procedure Coding (continued) 2:00pm-3:00pm

Ancillary Services 2:30pm • Audiology – Billing/supervision guidelines, audiogram, tympanogram, ENG,

audiologists billing E/M codes, ◦ NEW IN 2020: posturography code revised

• Allergy – Testing, immunotherapy including SLIT; billing supervision guidelines ◦ NEW TOPIC IN 2020: USP 797 requirements – what it means to your practice

• In-office CT – Global vs. professional and technical component coding

Adjournment 4:00pm

SATURDAY 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:

MAINTENANCE OF CERTIFICATION (MOC):

PENDING

PENDING

2020 AAPC ACCREDITATION:

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Attendee Registration ATTENDEE NAME/JOB TITLE Friday AM Friday PM Saturday Amount

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TOTAL $ FOR ALL ATTENDEES

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

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CANCELLATION/RESCHEDULING POLICY: All cancellations and transfer requests must be received in writing. Refunds are subject to a $50 administrative fee per registrant and will be made according to the following schedule: Cancellations received 10 days or more prior to the course receive a full refund less the administrative fee per registrant; cancellations received 0-9 days prior to the course do not receive a refund. If you must cancel your course registration with fewer than 10 days’ notice, KarenZupko & Associates, Inc. will transfer your registration fees to another workshop of your choice within the same calendar year, less the following: (1) the $50 administrative fee per registrant, (2) the cost of the workbook(s) per registrant, and (3) the meeting venue food and beverage charges per registrant, including all service charges and taxes. All monies are forfeit if you “no-show” to a course without prior written notice. KarenZupko & Associates, Inc. assumes no responsibility for costs associated with airline ticketing, price changes, or cancellations. As such, we recommend the purchase of travel insurance when making your plans.

2020 Course Fees

PACKAGE PRICE

Friday AM – Ignite Your E/M Coding $625

Friday PM – Rock Star Revenue Cycle $395

Saturday All Day – CPT Power Coding $925

Friday AM + Saturday CPT $1325

Friday PM + Saturday CPT $1175

All Three Courses $1535

Workshop Dates and Hotels

January 31-February 1 Las Vegas, NVHotel The Encore Wynn

RoomWednesday - Thursday: $199Friday - Saturday: $259(room block ends 1/8/20. Code: 8KZA0120)

Phone 877-321-9966

February 14-15 Orlando, FLHotel Wyndham Grand at Bonnet Creek

Room $199 (room block ends 1/10/20)

Phone 407-390-2300

March 20-21 Dallas, TX Hotel Sheraton Dallas by the Galleria

Room $95 (room block ends 2/19/20)

Phone 972-661-3600

May 8-9 Chicago, IL Hotel Hyatt Centric Chicago Magnificent Mile

Room $169 (room block ends 4/15/20)

Phone 312-787-1234

August 7-8 Nashville, TN Hotel Loews Vanderbilt Hotel

Room $199 (room block ends 7/13/20)

Phone 615-320-1700

November 13-14 Chicago, ILHotel Hyatt Centric Chicago Magnificent Mile

Room $199 (room block ends 10/14/20)

Phone 312-787-1234

REGISTER TODAY! Space at workshops is l imited.

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 ENTcoding and revenue cycle workshops