Power Coding in the Office

E/M, NPP, Office Procedures, and Radiology Essentials for CPT and ICD-10-CM

why livestream?

  • Time pressed surgeons will find distance learning keeps them abreast of up to date coding and documentation rules.
  • If your travel budget is cut back, this is an option.
  • Get KZA’s expert coding education from the comfort of your own home or office.
  • Receive the same great workbook and alumni resources.
  • Participate live by submitting questions to speakers and participating in polling.
  • Earn up to 10.25 CME or CEU credit hours.


Power Coding in the Office – Friday, March 20th
Course begins at 1 PM CST and adjourns at 5 PM CST

Course Information

With an eye to the horizon, our Friday focus will be on E/M coding principles for 2020 as we prepare for sweeping CPT and CMS E/M changes for 2021. Honing in on the elements of medical decision making and time, we will contrast and compare correct E/M coding for 2020 vs. 2021. You will leave with knowledge of medical necessity and its relationship to strong ICD-10-CM coding.

We will also update your knowledge of non-physician provider coding to include CPT’s first-ever mention of shared/split coding and illuminate key components of in-office radiology coding and documentation. You’ll leave equipped to handle E/M modifiers as well as appeal strategies for office procedures.

Learning Objectives

  • Identify key CMS & CPT 2021 E/M updated requirements
  • Define linkage between medical necessity and ICD-10-CM
  • Differentiate incident-to and split/shared reporting for NPPs
  • Apply E/M modifiers accurately
  • Identify documentation supporting the use of an acute injury ICD-10-CM code
  • Describe when it is appropriate to report an E/M service in addition to a joint injection


Friday PM Only

$695/ AAOS Member

$825/ Non-Member

Combo Friday PM & Saturday

$1,325/ AAOS Member

$1,625/ Non-Member

2020 AAPC Accreditation

This program has the prior approval of AAPC for 4.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. 


2020 CME Credit for Physicians

For directly sponsored activities: The American Academy of Orthopaedic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. AAOS designates this live activity (Power Coding in the Office) for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAOS requires that orthopaedic surgeons submit a completed evaluation that will be distributed by e-mail in the week following the course in order to receive CME credits. AAOS members: Your CME Transcript will include credits for participation in this live activity approximately four (4) weeks following the course.

After registering you will receive an initial confirmation with details for the workshop. Approximately one week prior to the event you will receive and email from support@digitellinc.com with login instructions. Additional reminder emails will be sent on the morning of the event.

The emails from support@digitellinc.com are necessary to participate in the workshop. Check your spam folder in case the email is directed to that folder. It is important that you provide the email address of the person who will be participating in the event. Each separate participant requires a unique email address.

Technical support will be available one hour prior to the start of the workshop, during the livestream, and 30 minutes after the course concludes. Support is offered in the form of live chat, email or phone assistance.

Additionally, once you receive your login information you can test your connection on the device you will be using for the livestream. We suggest you do this a few days in advance of the workshop so that you can reach out to the tech support if there are any issues.

You will receive a physical workbook(s) prior to the livestream by Fed Ex or UPS. These will be sent to the address provided in the order.  If they should be sent to a different address please call (312) 642-8310 and we will update the address.

Even though you aren’t in the room with the instructor you will still have the opportunity to ask questions.  There will be designated Q&A segments for each course during which both in-person and remote attendees will have the opportunity to ask questions. These questions will be submitted through a panel on the livestream player.

The workshop content is copyrighted property of KarenZupko & Associates, Inc.  Any rebroadcast, reproduction, or other use of the pictures, content and accounts of this workshop or the accompanying workbook without the express written consent of KarenZupko & Associates, Inc. is prohibited.


*agenda subject to change


12:00PM - 1:00PM CST

Help Line and Customer Support

1:00pm - 1:15pm CST

Medical Necessity 

What payors know and how they use it to deny or recapture payments

  • Just because it is in the note, doesn’t mean it was necessary to make a diagnosis or treat a problem!
  • Will Medical Necessity change in 2021? UPDATE!

1:15pm - 1:30pm CST

ICD-10-CM Overview

  • Discover how your documentation impacts the diagnosis codes reported.
  • Not everything on the problem list automatically relates to all services.
  • Should the diagnosis begin with S or M? What’s the difference and why it’s important.

1:30pm - 3:00pm CST

E/M Category and Levels of Service

  • 2020 CPT E/M Codes new and revised
  • 2021 CPT E/M updates The most significant change to E/M reporting in the past 20 years is on the horizon.
  • Category of E/M service
  • Level of service documentation
    • History, Exam, Medical Decision Making
    • Note annotation

3:00PM - 3:15PM CST


3:15PM - 3:45PM CST

E/M Case Reviews

  • 2020 vs. 2021 comparisons NEW!
  • Medical Decision Making & Time

3:45PM - 4:15PM CST

E/M Modifiers 24, 57, 25

  • Modifier 25 with E/M services and joint injections
  • Prevent denials with good documentation.
  • When shouldn’t E/M services and procedures be reported together?
  • Appeal strategies for E/M and office procedures

4:15PM - 4:30PM CST

Radiology NEW!

  • Does your radiology interpretation stand up to scrutiny?
  • Understand requirements for reporting a global X-ray service vs. taking medical decision-making points.
  • Where does this fit into “time” for visits in 2021?

4:30PM - 5:00PM CST

PA and NP Billing for Medicare NEW!

  • Define “incident to”, split/shared, and direct reporting.
  • 2021 CPT addresses split/shared for the first time.
  • Differentiate billing options for office and hospital places of service.
  • Tools for tracking payor use of these reporting options

5:00PM CST




FRIDAY, MARCH 20, 2020
Follow the live broadcast online.

Registration ends
March 13.

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