CME OnDemand: Crack the Codes Practice Management and Coding
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Availability
On-Demand
Cost
Member: $350.00
Non-Member: $450.00
Credit Offered
7.5 CME (MD) OnDemand Credits
7.5 CME (PA/NP/RN) OnDemand Credits
7.5 CEU (AT) OnDemand Credits
7.5 CE (PT) OnDemand Credits
7.5 CME (DPM) OnDemand Credits
7.5 CME (Other) OnDemand Credits
  • Course Overview
  • CPT 2023 Revised Guidelines for Evaluation and Management (E/M) for Inpatient/Observation Services
  • CPT Revised Guidelines for Evaluation and Management (E/M) Office/Outpatient Visits (99202-99215)
  • Revenue Cycle Management: Improve Your Bottom Line
  • PA and NP Billing Strategies for both the Office and Hospital
  • Fracture Care for Foot and Ankle
  • Common Surgical Procedures for Foot & Ankle
  • Surgical Global Period, Modifiers, and ICD 10 for Foot & Ankle
  • CME Overview
  • Faculty and Disclosures

Dive into a broad range of coding and practice management topics at this new virtual course! Hosted by the experts at KarenZupko & Associates, this seven-part course is perfect for your entire office staff. AOFAS Members and their entire office team qualify for discounted pricing. Registration is per individual, and not meant for group access. 

Office staff of AOFAS members may use the code: PMC2023 during the payment process to receive the member registration rate. 

Funding for this course is provided by the Orthopaedic Foot & Ankle Foundation, supported in part by a grant from Paragon 28. 


This course is available for purchase through March 31, 2024. 

Included Sessions:

CPT 2023 Revised Guidelines for Evaluation and Management (E/M) for Inpatient/Observation Services
CPT Revised Guidelines for Evaluation and Management (E/M) Office/Outpatient Visits (99202-99215)
Revenue Cycle Management: Improve Your Bottom Line
PA and NP Billing Strategies for both the Office and Hospital
Fracture Care for Foot & Ankle
Common Surgical Procedures for Foot & Ankle
The Surgical Global Period, Modifiers, and ICD10 for Foot & Ankle



AOFAS is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AOFAS designates this enduring material activity for a maximum of up to 7.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This 1-hour course explains the new 2023 CPT E/M guidelines for hospital, observation, consultation, and emergency department (ED) visits. This session adds to the building blocks of the 2021 revised guidelines for the elements of Medical Decision Making and Time as structured for E/M services within the hospital, other facility, or home setting. There will be “hands on” coding of an E/M note as well as a short time for Q&A.

 

 Learning Objectives

  • Update your knowledge of the CPT 2023 E/M revised requirements for hospital, observation, consultation, and emergency department services
  • Adapt the 2021 revised Time vs. MDM CPT concept in the hospital setting
  • Apply E/M modifiers accurately

Agenda

  • Time Criteria
  • MDM Criteria – Key Definitions and Concepts for Other E/M Billing
    • Inpatient/Observation Changes
    • Consultation Changes
    • Emergency Department Changes
    • Nursing Facility Changes
    • Home/Residence Services
  • Prolonged Care Services for Hospital/Observation
  • Example Scenarios for E/M 2023 in the Hospital/Observation Setting

This 1-hour course analyzes the revised E/M guidelines (from 2021) for office/outpatient visits 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 an E/M note as well as a short time for Q&A.

 Learning Objectives

  • Update your knowledge of the updated CPT E/M requirements for office/outpatient encounters
  • Apply E/M modifier 25 accurately
  • Describe when it is appropriate to report an E/M service in addition to a joint injection

 Agenda

  • E/M Levels of Service: Office and Outpatient Setting (99202-99215)
    • Time Criteria
    • MDM Criteria – Key Definitions and 2021 Technical Corrections
    • Example Scenarios for Foot and Ankle using the revised E/M guidelines in the office
  • E/M Modifier 25
    • Modifier 25 with E/M Services and Joint Injections
    • When shouldn’t E/M services and procedures be reported together?
    • Appeal strategies for E/M and Office Procedures

This 1.5-hour course will invigorate you and your staff with positive and practical ideas and actions to enhance up-front collections and other must-have concepts. This session presents tools that are easily applied and designed to bring quick results.

 

 Learning Objectives

  • Use revenue cycle reports as tools to understand gaps in both patient and payor payments.
  • Recognize opportunities for up-front collection of deductibles/coinsurance.
  • Develop strategies to employ efficient and effective operational processes to create a healthy bottom line.

 

 Agenda

  • Key Financial Performance Indicators
  • Best Billing Practices Assessments
  • Crafting Financial Policies That Produce Results and Don't Put Patients Off
  • Optimizing Technology in Your Business Office
  • Why Financing Works for Patients with High Deductibles
  • Exactly How to Ask for Prepayment for Services and Surgery

This 45-minute course gives specific insight regarding the unique challenges of billing for advance practice providers (APP). KZA tackles this perplexing subject and makes it easy to understand so providers, coders, and billers can confidently and appropriately bill for services.

 

Learning Objectives

  • Understand 3 different options for billing PA/NP services.
  • Gain understanding of the financial impact and both office and hospital billing.
  • Apply modifiers correctly for split/shared billing

 

 Agenda

  • PA and NP Billing for Medicare
    • Define “incident to”, split/shared, and direct reporting
    • 2022 CMS changes for split/shared
    • Differentiate billing options for office and hospital places of service
    • Learn the new CMS modifier used for split/shared
  • Examples of billing scenarios for PA/NP

This 1-hour course gives extensive coverage of fracture care, related services, and in-office procedures specific to the foot and ankle. Along with case exercises to boost confidence in common foot and ankle scenarios, attendees will leave with an awareness of reimbursement methodologies and documentation tips for in-office procedures and radiology.

Learning Objectives

  • Demonstrate global vs. itemized fracture care billing for foot and ankle.
  • Identify how restorative care is defined and how it impacts fracture code selection.
  • Apply surgical modifiers and documentation requirements needed for optimal reimbursement.

 Agenda

  • Fracture Care
    • Itemized billing
    • Global fracture care billing
    • NCCI Edits for Fracture Care
  • External Fixation
  • Debridement and Wound Care for Fractures
  • Hardware Removal
  • Radiology
    • Does your radiology interpretation stand up to scrutiny?
    • Understand requirements for reporting a global x-ray service
  • Example Case scenarios for Fracture Care

This 1-hour course highlights the latest coding, billing, and reimbursement strategies for foot and ankle surgeries.


Learning Objectives

  • Recognize nuances of bundling guidelines between GSD and CMS for common foot and ankle surgeries.
  • Demonstrate foot and ankle surgical coding through practice exercises.

Agenda

  • Arthrodesis
  • Lisfranc Injuries
  • Tendon and Ligament Procedures
    • GSD and NCCI Guidelines
    • Arthroscopies
  • Excision of Bone Cysts
  • Hallux valgus and related procedures
  • Ostectomy and Osteotomy
  • Examples of surgical scenarios

This 1-hour course highlights the latest coding, billing, and reimbursement strategies for foot and ankle surgeries.


Learning Objectives

  • Recognize nuances of bundling guidelines between GSD and CMS for common foot and ankle surgeries.
  • Demonstrate foot and ankle surgical coding through practice exercises.

Agenda

  • Arthrodesis
  • Lisfranc Injuries
  • Tendon and Ligament Procedures
    • GSD and NCCI Guidelines
    • Arthroscopies
  • Excision of Bone Cysts
  • Hallux valgus and related procedures
  • Ostectomy and Osteotomy
  • Examples of surgical scenarios
Statement of Need

A need for this educational activity has been determined based on previous course evaluations and the AOFAS educational curriculum. The content of this course was based on current issues and topics provided by AOFAS membership and leadership. For more information on the AOFAS CME mission, visit aofas.org/education.


Accreditation

The American Orthopaedic Foot & Ankle Society (AOFAS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Learn more about the AOFAS CME Program Mission 

 









Disclosure

AOFAS requires all instructors, planners, and other individuals in a position to control or influence the content of an educational activity to disclose all relevant financial relationships or affiliations during the past 12 months with any commercial interest (any entity producing, marketing, re-selling, or distributing healthcare goods and services consumed by, or used on patients). All identified conflicts of interest must be resolved and the education content vetted by AOFAS for fair balance, scientific objectivity, and appropriateness. AOFAS also requires faculty to disclose when off-label/unapproved uses of a product are discussed in a CME activity. AOFAS attests that the persons responsible for the development of this educational activity did so independently and were not influenced by commercial supporters. All financial disclosures will be provided to meeting attendees in the final program materials.


Disclaimer

The material presented in this continuing medical education activity has been made available by the American Orthopaedic Foot & Ankle Society (AOFAS) for educational purposes only. This material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situation discussed, but rather is intended to present an approach, view, statement, or opinion of the authors or presenters, which may be helpful or of interest to other practitioners. Methods, techniques, and procedures demonstrated and views and opinions expressed by speakers, presenters, and faculty are their own, and do not necessarily represent those of AOFAS, nor does presentation on the program represent or constitute endorsement or promotion by AOFAS. AOFAS expressly disclaims any warranties or guarantees, expressed or implied, and shall not be liable for damages of any kind in connection with the material, methods, information, techniques, opinions, or procedures expressed, presented, or demonstrated.

FDA Statement
Some drugs or medical devices demonstrated at this meeting have not been cleared by the FDA or have been cleared by the FDA for specific purposes only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical devices he or she wishes to use in clinical practice. AOFAS policy provides that “off label” uses of a drug or medical device may be described in its CME activities so long as the “off label” use of the drug or medical device is also specifically disclosed (i.e., it must be disclosed that the FDA has not cleared the drug or device for the described purpose). Any drug or medical device is being used “off label” if the described use is not set forth on the products approval label.

Faculty/Planner Disclosure Declaration
As an Accreditation Council for Continuing Medical Education (ACCME) provider, AOFAS has the obligation to ensure the delivery of education that is balanced and free of commercial bias. To achieve this, it is the policy of the AOFAS that all CME-related board members, committee members (“planners”), faculty, and appropriate staff disclose in writing to the learners’ all financial relationships that you have had in the past 24 months with ineligible companies. An “ineligible company” are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In addition to faculty members, commentators from the floor are charged with verbally disclosing any interests immediately prior to speaking. All disclosures are provided in this final program distributed at the meeting to all program participants.

In accordance with AOFAS policy:
Faculty participation in this educational activity will be predicated upon timely submission and review of AOFAS disclosure. An individual who refuses to disclose all financial relationships will be disqualified from being a planning committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity. Non-compliance will result in a faculty member being stricken from the program.

An indication of the participant’s disclosure appears after his or her name as well as the ineligible company that provided the support. AOFAS does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author’s participation in this activity. In addition to ensuring that presentations be free of bias, faculty members are required to ensure that all material presented and discussed will be based on best- available evidence.

 

 Faculty 

  

Jen Bell, MSOLE, CPC, CPMA, CHC, CASCC

Jennifer Bell (Jen) has over 30 years of experience in all areas of the revenue cycle with a focus on prospective and retrospective auditing, coding abstraction, and telehealth billing compliance. She has delivered both coding and auditing services and education for a wide range of medical and surgical specialties. Jen’s extensive knowledge and skills in successful appeals and payment recovery processes involving major payors generates positive returns for clients.

 

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Jennifer R. Cabrera, PA-C, MSPA, MPH

As a board- certified Physician Assistant, Jennifer has spent nearly 20 years in health care, with most of that time in orthopaedics.   Her clinical experiences add to her understanding of the importance of solid documentation as well as diagnostic and procedural coding. Jennifer’s rich background in sports medicine and joint reconstruction includes care for both collegiate and professional athletes, plus serving as first assist on surgeries on a range of orthopedic procedures.  She has extensive ASC and hospital experience as a service line manager, case management, and with AAAHC and JCAHO accreditations.  In addition, Jennifer has served on the development team for the construction of a new orthopaedic and spine surgical hospital in Los Angeles.

In addition to her clinical roles, in 2011 Jennifer accepted the role of Director of Operations for a private orthopaedic practice in LA.  She focused on all aspects of the practice from the revenue cycle to financial reporting and staff training.  Most recently, she played a key role in the implementation of a new practice management and EHR system. Jennifer has a passion for streamlining processes and workflows to maximize efficiency across the patient care continuum.   She has a firsthand appreciation of the importance of accurate documentation and appeals.   Her belief, based on experience, is that the business side of the practice must be as strong as the clinical care being provided.

Jennifer holds dual Master’s degrees from Touro University – California in physician assistant studies and public health.  In her free time, she enjoys traveling, attending concerts and sporting events, and spending time with family and her puppy, Wrigley (who is named after the ballpark in Chicago!).

 

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Karen Zupko, President and Speaker, Karen Zupko & Associates, Inc.

Advising physicians on how to improve their practices has been the focus and passion of Karen Zupko for more than 35 years. Ms. Zupko founded KarenZupko & Associates, Inc. in 1985 and has built the company into a professional staff of more than 20, whose goals are to help physicians:  

  • improve profitability 
  • reduce expenses and risk 
  • increase patient satisfaction 
  • and establish better work environments for physicians and staff. 

In collaboration with national specialty societies, KZA developed the first specialty-specific coding courses over 25 years ago. These programs have an established reputation for providing comprehensive and accurate advice to physicians and their staff.  

Ms. Zupko personally participates in annual practice management programs sponsored by these national specialty societies. She has earned positive evaluations for her practical advice, delivered with humor and wit.  

She and her team of consultants have helped medical groups across the nation—ranging in size from solo practices to academic departments—sharpen their business systems, improve the revenue cycle, and maximize efficiency in coding and reimbursement. KZA consultants also advise on hospital employment, physician compensation, technology, and coding compliance.  

As an author, Karen's articles have appeared in The Journal of Medical Practice Management, Aesthetic Society News, AAOS Now, and Medical Economics. Additionally, she has contributed chapters for two specialty books aimed at plastic surgeons and otolaryngologists. 

Prior to founding KZA, Karen worked at the American Medical Association, where, for 12 years, she served in the Department of Practice Management and, for 6, as the Department Director. Her background includes serving on the board of Grant Hospital as well as on the Board of AHA’s Society for Health Marketing board for Physician Relations.  

Karen actively participates in several Chicago area arts organizations—including the Grant Park Music Festival (where she serves on the board) and the Governing Members of the Chicago Symphony Orchestra—and enthusiastically supports and attends the annual Chicago Humanities Festival. 

 

 
DISCLOSURE OF CONFLICT OF INTEREST

 

Disclosure Statement

AOFAS mandates all instructors, planners, and other individuals in a position to control or influence the content of an educational activity to disclose all financial relationships that you have had in the past 24 months with ineligible companies. An “ineligible company” are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients

All identified conflicts must be mitigated, and the education content vetted by the AOFAS for fair balance, scientific objectivity, and appropriateness. All disclosures will be provided in this final program distributed at the meeting to all program participants.

FDA Statement

Some drugs or medical devices demonstrated at this meeting have not been cleared by the FDA or have been cleared by the FDA for specific purposes only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical devices he or she wishes to use in clinical practice. AOFAS policy provides that “off label” uses of a drug or medical device may be described in its CME activities so long as the “off label” use of the drug or medical device is also specifically disclosed (i.e., it must be disclosed that the FDA has not cleared the drug or device for the described purpose). Any drug or medical device is being used “off label” if the described use is not set forth on the products approval label.

 

Faculty/Planner Disclosure Declaration

As an Accreditation Council for Continuing Medical Education (ACCME) provider, AOFAS has the obligation to ensure the delivery of education that is balanced and free of commercial bias. To achieve this, it is the policy of the AOFAS that all CME-related board members, committee members (“planners”), faculty, and appropriate staff disclose in writing to the learners’ all financial relationships that you have had in the past 24 months with ineligible companies. An “ineligible company” are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients

In addition to faculty members, commentators from the floor are charged with verbally disclosing any interests immediately prior to speaking. All disclosures are provided in this final program distributed at the meeting to all program participants.

 

In accordance with AOFAS policy:

Faculty participation in this educational activity will be predicated upon timely submission and review of AOFAS disclosure. An individual who refuses to disclose all financial relationships will be disqualified from being a planning committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity. Non-compliance will result in a faculty member being stricken from the program.

 

An indication of the participant’s disclosure appears after his or her name as well as the ineligible company that provided the support. AOFAS does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author’s participation in this activity. In addition to ensuring that presentations be free of bias, faculty

members are required to ensure that all material presented and discussed will be based on best- available evidence.

 

Faculty Disclosures

 

Jennifer Bell, MSOLE, CPC, CPMA, CHC, CASCC

Nothing to Disclose 

Jennifer Cabrera, PA-C, MSPA, MPH 

Nothing to Disclose

 

Karen Zupko

Nothing to Disclose

American Orthopaedic Foot & Ankle Society®
Orthopaedic Foot & Ankle Foundation
9400 W. Higgins Road, Suite 220, Rosemont, IL 60018
800-235-4855 or +1-847-698-4654 (outside US)
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