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Power Coding in the Office

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

why participate in an 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.
  • Earn CME and CEU credit hours with the completion of an online evaluation and test.
  • Receive the same great workbook and alumni resources.
  • You will receive your workbook approximately four business days after you register.


Course Information

With an eye to the horizon, our 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

Power Coding in the Office

$695/ AAOS Member

$825/ 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. 

Credit is available after completion of an evaluation and a 40 question test.

2020 CME Credit for Physicians

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of AKH Inc., Advancing Knowledge in Healthcare and KarenZupko & Associates, Inc. AKH Inc., Advancing Knowledge in Healthcare is accredited by the ACCME to provide continuing medical education for physicians.

AKH Inc., Advancing Knowledge in Healthcare designates this enduring activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

You 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.

After registering you will receive an initial confirmation with details for the workshop. You will receive an additional email with login instructions. 

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.

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

Once you receive your login information you can test your connection on the device you will be using for the on-demand workshop. 

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

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!

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.

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

15 minutes


E/M Case Reviews

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

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

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?

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

course adjourn

Complete Evaluation


On-Demand Workshop

If you have questions about the on-demand workshop or need assistance registering please email education@karenzupko.com

Don't forget to sign
up for our live
Q&A Sessions!

Interact with our expert
instructors for a
1-hour discussion!


Amy Anderson


Consultant and Speaker


Cheyenne Brinson

CPA (inactive), MBA

Consultant and Speaker


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