Modifiers tell the payor what happened in a surgery and more importantly impact reimbursement in different ways. Appending correct modifiers can make the difference between a quickly paid claim and one that languishes in your AR waiting for resubmission. Physician documentation must reflect what happened differently in a procedure to lead the code/biller to appending the correct modifier. This webinar explains the most common modifiers and how they are used accurately in actual vascular surgery scenarios. 

Objectives

Agenda

Surgical Modifiers in Vascular Surgery

• When should a 22 Modifier Be Used for Increased Procedural Services and Will it get Paid?
  • What needs to be documented?
• Same Day Modifiers
  •  51 vs 59 what’s the difference?
  •  52 vs 53 what’s the difference?
•  Global Period Modifiers
  • When do these apply?
  • Modifier 58. Is it only for a planned procedure?
    • What is the reimbursement impact?
  • Modifier 79. What makes an unrelated procedure? An infection at the incision site? Debridement of a pre-existing ulcer?
    • What is the reimbursement impact?
  • Modifier 78. Are procedures on an existing AV graft or fistula a complication?
    • How does this impact reimbursement and the global period?
•  Clinical scenarios

AAPC Accreditation

This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A, CEMC and CPMA after successful completion of a Post-Test for continuing education units. 

Accreditation expiration date: 5/31/24

Important Note: Please be sure to complete the course before the CEU expiration date if you plan to obtain CEU credits.

Presented by:

Registering Multiple Attendees 

1. Create, or have each attendee create, a user account here. 
   1. If one person is creating all of the accounts you will need to log out each time to create the next account.
2. Log in with the account that you wish to pay through and add desired products to your cart. 
3. Once you have selected all the desired products, go to your cart. 
   1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
6. The attendee's name will appear in the registrant column under your own. 
7. Repeat this for each additional attendee.
8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at education@karenzupko.com or call 312 642-8310 

Modifiers tell the payor what happened in a surgery and more importantly impact reimbursement in different ways. Appending correct modifiers can make the difference between a quickly paid claim and one that languishes in your AR waiting for resubmission. Physician documentation must reflect what happened differently in a procedure to lead the code/biller to appending the correct modifier. This webinar explains the most common modifiers and how they are used accurately in actual vascular surgery scenarios.

Objectives

Agenda

Surgical Modifiers in Vascular Surgery

• When should a 22 Modifier Be Used for Increased Procedural Services and Will it get Paid?
  • What needs to be documented?
• Same Day Modifiers
  •  51 vs 59 what’s the difference?
  •  52 vs 53 what’s the difference?
•  Global Period Modifiers
  • When do these apply?
  • Modifier 58. Is it only for a planned procedure?
    • What is the reimbursement impact?
  • Modifier 79. What makes an unrelated procedure? An infection at the incision site? Debridement of a pre-existing ulcer?
    • What is the reimbursement impact?
  • Modifier 78. Are procedures on an existing AV graft or fistula a complication?
    • How does this impact reimbursement and the global period?
•  Clinical scenarios

AAPC Accreditation

This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A, CEMC and CPMA after successful completion of a Post-Test for continuing education units. 

Accreditation expiration date: 5/31/24

Important Note: Please be sure to complete the course before the CEU expiration date if you plan to obtain CEU credits.

Presented by:

Registering Multiple Attendees 

1. Create, or have each attendee create, a user account here. 
   1. If one person is creating all of the accounts you will need to log out each time to create the next account.
2. Log in with the account that you wish to pay through and add desired products to your cart. 
3. Once you have selected all the desired products, go to your cart. 
   1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
6. The attendee's name will appear in the registrant column under your own. 
7. Repeat this for each additional attendee.
8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at education@karenzupko.com or call 312 642-8310 

PA and NP Billing Update for Orthopaedics

30 minute Session

$59

CMS made significant changes to its non-physician provider (NPP) billing rules in 2022 and 2023. Dive into the intricacies of incident to, direct, and split/shared billing for Medicare claims, with a focus on applying the new CMS criteria.  

This quick 30-minute virtual course analyzes the NPP billing options for Medicare, with a detailed look at changes effective in 2023 that apply in orthopaedic practices. 

In this session you will:

1. Refresh your understanding of the definitions and criteria for incident to, direct, and split/shared billing. 
2. Compare CMS’s previous rules for split/shared reporting with what changes occurred in 2022 and what’s new in 2023.
3. Learn about a new modifier CMS requires for split/shared services.
4. Assess orthopaedic scenarios to practice applying these essential billing concepts.

Reminder: You have 30 days to complete the course from the day you open and access the course. 

Course Access and Expiration

You have 30 days to complete a course from the day you first access the content. After 30 days your access will expire. 

Should you have questions, please contact us at education@karenzupko.com  

$1075

*Workbook shipping is included in the price

Approximate Total Time: 5 Hours and 30 minutes

Extended coverage of subspecialty coding content and case exercises to boost your confidence in common orthopaedic scenarios, including spine surgery basics. Learn to apply surgical modifiers to protect reimbursement and appropriately differentiate CPT rules from Medicare NCCI edits and guidelines. You'll leave with awareness of reimbursement methodologies for bundled payment, and, of course, with the latest 2021 code changes and NCCI updates.

Learning Objectives

• Differentiate AAOS Global Service Guidelines from NCCI guidelines for Medicare.
• Apply surgical modifiers correctly to prevent denials.
• Identify how restorative care is defined and how it impacts fracture code selection.
• Use new CPT codes for total joint arthroplasty following infection.
• Apply the new CPT definitions for arthroscopic shoulder debridement.
• Understand the new CPT guideline for arthroscopic removal of loose or foreign bodies when performed at the time of other procedures.
• Demonstrate surgical coding comprehension through new practice exercises.

This course contains accurate and complete information. Coding changes that occurred in 2023 are included for your convenience in the accompanying addendum, Updates for 2023

Reminder: You have 30 days to complete the course from the day you open and access the course. 

Course Access and Expiration

You have 30 days to complete a course from the day you first access the content. After 30 days your access will expire. 

Should you have questions, please contact us at education@karenzupko.com  

Registering Multiple Attendees 

1. Create, or have each attendee create, a user account here. 
   1. If one person is creating all of the accounts you will need to log out each time to create the next account.
2. Log in with the account that you wish to pay through and add desired products to your cart. 
3. Once you have selected all the desired products, go to your cart. 
   1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
6. The attendee's name will appear in the registrant column under your own. 
7. Repeat this for each additional attendee.
8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at education@karenzupko.com or call 312 642-8310 

$925 for AAOS Members and Their Staff [$1075 regularly]| 

*Workbook shipping is included in the price

Approximate Total Time: 5 Hours and 30 minutes

Extended coverage of subspecialty coding content and case exercises to boost your confidence in common orthopaedic scenarios, including spine surgery basics. Learn to apply surgical modifiers to protect reimbursement and appropriately differentiate CPT rules from Medicare NCCI edits and guidelines. You'll leave with awareness of reimbursement methodologies for bundled payment, and, of course, with the latest 2021 code changes and NCCI updates.

Learning Objectives

• Differentiate AAOS Global Service Guidelines from NCCI guidelines for Medicare.
• Apply surgical modifiers correctly to prevent denials.
• Identify how restorative care is defined and how it impacts fracture code selection.
• Use new CPT codes for total joint arthroplasty following infection.
• Apply the new CPT definitions for arthroscopic shoulder debridement.
• Understand the new CPT guideline for arthroscopic removal of loose or foreign bodies when performed at the time of other procedures.
• Demonstrate surgical coding comprehension through new practice exercises.

This course contains accurate and complete information. Coding changes that occurred in 2023 are included for your convenience in the accompanying addendum, Updates for 2023

Reminder: You have 30 days to complete the course from the day you open and access the course. 

Course Access and Expiration

You have 30 days to complete a course from the day you first access the content. After 30 days your access will expire. 

Should you have questions, please contact us at education@karenzupko.com  

Registering Multiple Attendees 

1. Create, or have each attendee create, a user account here. 
   1. If one person is creating all of the accounts you will need to log out each time to create the next account.
2. Log in with the account that you wish to pay through and add desired products to your cart. 
3. Once you have selected all the desired products, go to your cart. 
   1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
6. The attendee's name will appear in the registrant column under your own. 
7. Repeat this for each additional attendee.
8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at education@karenzupko.com or call 312 642-8310 

$497

Orthopaedics: The Ins and Outs of Sports Medicine

AAPC Accreditation -- Expires 05/31/24 This program meets AAPC guidelines for 1 CEU.

This 1-hour course is designed for both seasoned and new Orthopedic coders and will encompass a review of the most common ICD-10-CM diagnosis codes for Sports Medicine, comparison of the most common Open vs. Arthroscopic CPT codes for Sports Medicine, and coding scenarios for correct reporting of Arthroscopic procedures. This course will also outline the various coding guidelines for Sports Medicine with CPT, AAOS and Medicare as well as a review of knee, shoulder, hip anatomy and terminology. 

Course Description:
This course will review knee, shoulder, hip anatomy and terminology as well as the most common injury and musculoskeletal ICD-10-CM diagnosis codes for Sports Medicine.  Surgical coding concepts for Arthroscopy coding for Knee, Shoulder and Hip procedures will also be discussed.  Participants will gain an understanding of the differences in coding guidelines applicable in Sports Medicine with CPT, AAOS and Medicare. Participants will also work through hands-on case examples for knee, shoulder, and hip arthroscopy.

Course Learning Objectives:
• Review of knee, shoulder, hip anatomy and terminology
• Navigate and apply AAOS Global Service Data (GSD) and Medicare NCCI guidelines and CPT guidelines
• Review of chondroplasty, loose/foreign body, and synovectomy reporting
• Review of common ICD-10-CM diagnosis codes for Hip, Knee and Shoulder

Fracture Care: Step by Step

AAPC Accreditation -- Expires 06/30/24 This program meets AAPC guidelines for 1.5 CEUs.

This one and a half hour course is designed for both seasoned and new Orthopedic coders and will encompass a review of updated definitions and guidelines for closed, open, and percutaneous fracture care treatment, itemized vs. global reporting for non-manipulative treatment of fractures, global surgical package guidelines for fractures, NCCI guidelines and fractures, updated AAOS guidance for hardware removal and negative pressure wound therapy, and debridement and active wound care management guidelines.

Course Description:
This course will review CPT 2022 Musculoskeletal Guideline revisions, Fracture care in the ER, Urgent Care and office setting and billing methodologies, updated AAOS guidance for negative pressure wound therapy and hardware removal, debridement, and active wound care management.  Participants will also have an opportunity to work through hands-on case exercises for itemized vs. global reporting for non-manipulative treatment  and other fracture care coding scenarios.

Course Learning Objectives:
• Review of fracture care guidelines and billing methodologies
• Fracture treatment shared by NPP’s and physicians
• Updated CPT guidelines for External Fixation
• Updated AAOS guidance for Negative Pressure Wound Therapy and Hardware removal
• Debridement and Active Wound Care Management 

Arthroplasty from A to Z

AAPC Accreditation -- Expires 06/30/24 This program meets AAPC guidelines for 1 CEU. 

Course Description:

This course will review the important changes for Joint Arthroplasty (Hip, Knee, and Shoulder) and drug delivery device updates, revision arthroplasty vs. replacement coding guidelines and hands-on case exercises for hip, knee, and shoulder replacements.

Course Learning Objectives:

• Discover when to bill revision vs. replacement and how modifiers direct the narrative
• Updates to hip revision billing
• New drug delivery device usage in joint infections
• Hands on case exercises for hip, knee, and shoulder replacements

Reminder: You have 30 days to complete a course from the day you open and access the course.

AAPC Accreditation

Orthopaedics: The Ins and Outs of Sports Medicine

AAPC Accreditation -- Expires 05/31/24 This program meets AAPC guidelines for 1 CEU. On Demand product requires successful completion of a post-test for Core A, CEMC, CENTC and CPMA for continuing education unit

Fracture Care: Step by Step

AAPC Accreditation -- Expires 06/30/24 This program meets AAPC guidelines for 1.5 CEUs. On Demand product requires successful completion of a post-test for Core A, CEMC, CENTC and CPMA for continuing education units.

Arthroplasty From A to Z

AAPC Accreditation -- Expires 06/30/24 This program meets AAPC guidelines for 1 CEU. On Demand product requires successful completion of a post-test for Core A, CEMC, CENTC and CPMA for continuing education units.

Course Access and Expiration

You have 30 days to complete a course from the day you first access the content. After 30 days your access will expire. 

Should you have questions, please contact us at education@karenzupko.com  

$199

This program meets AAPC guidelines for 1 CEU. CEU's expire on 5/31/2024.

This 1-hour course is designed for both seasoned and new Orthopedic coders and will encompass a review of the most common ICD-10-CM diagnosis codes for Sports Medicine, comparison of the most common Open vs. Arthroscopic CPT codes for Sports Medicine, and coding scenarios for correct reporting of Arthroscopic procedures. This course will also outline the various coding guidelines for Sports Medicine with CPT, AAOS and Medicare as well as a review of knee, shoulder, hip anatomy and terminology. 

Course Description:
This course will review knee, shoulder, hip anatomy and terminology as well as the most common injury and musculoskeletal ICD-10-CM diagnosis codes for Sports Medicine.  Surgical coding concepts for Arthroscopy coding for Knee, Shoulder and Hip procedures will also be discussed.  Participants will gain an understanding of the differences in coding guidelines applicable in Sports Medicine with CPT, AAOS and Medicare. Participants will also work through hands-on case examples for knee, shoulder, and hip arthroscopy.

Course Learning Objectives:
• Review of knee, shoulder, hip anatomy and terminology
• Navigate and apply AAOS Global Service Data (GSD) and Medicare NCCI guidelines and CPT guidelines
• Review of chondroplasty, loose/foreign body, and synovectomy reporting
• Review of common ICD-10-CM diagnosis codes for Hip, Knee and Shoulder 

Reminder: You have 30 days to complete the course from the day you open and access the course. 

AAPC Accreditation -- Expires 05/31/24

This program meets AAPC guidelines for 1 CEU. On Demand product requires successful completion of a post-test for Core A, CEMC, CENTC and CPMA for continuing education units.

$199

This program meets AAPC guidelines for 1 CEU. Note: CEU's expire on 6/30/2024.

Course Description:

This course will review the important changes for Joint Arthroplasty (Hip, Knee, and Shoulder) and drug delivery device updates, revision arthroplasty vs. replacement coding guidelines and hands-on case exercises for hip, knee, and shoulder replacements.

Course Learning Objectives:

• Discover when to bill revision vs. replacement and how modifiers direct the narrative
• Updates to hip revision billing
• New drug delivery device usage in joint infections
• Hands on case exercises for hip, knee, and shoulder replacements

Reminder: You have 30 days to complete the course from the day you open and access the course. 

AAPC Accreditation -- Expires 06/30/24

This program meets AAPC guidelines for 1 CEU. On Demand product requires successful completion of a post-test for Core A, CEMC, CENTC and CPMA for continuing education units.

Note: CEU's are valid until 06/30/2024. Please be sure to claim credits before the expiration date. 

$199

This program meets AAPC guidelines for 1.5 CEUs. Note: CEU's expire 6/30/2024.

This one and a half hour course is designed for both seasoned and new Orthopedic coders and will encompass a review of updated definitions and guidelines for closed, open, and percutaneous fracture care treatment, itemized vs. global reporting for non-manipulative treatment of fractures, global surgical package guidelines for fractures, NCCI guidelines and fractures, updated AAOS guidance for hardware removal and negative pressure wound therapy, and debridement and active wound care management guidelines.

Course Description:
This course will review CPT 2022 Musculoskeletal Guideline revisions, Fracture care in the ER, Urgent Care and office setting and billing methodologies, updated AAOS guidance for negative pressure wound therapy and hardware removal, debridement, and active wound care management.  Participants will also have an opportunity to work through hands-on case exercises for itemized vs. global reporting for non-manipulative treatment and other fracture care coding scenarios.

Course Learning Objectives:
• Review of fracture care guidelines and billing methodologies
• Fracture treatment shared by NPP’s and physicians
• Updated CPT guidelines for External Fixation
• Updated AAOS guidance for Negative Pressure Wound Therapy and Hardware removal
• Debridement and Active Wound Care Management 

Reminder: You have 30 days to complete the course from the day you open and access the course. 

AAPC Accreditation -- Expires 06/30/24

This program meets AAPC guidelines for 1.5 CEUs. On Demand product requires successful completion of a post-test for Core A, CEMC, CENTC and CPMA for continuing education units.

Note: CEU's are valid until 06/30/2024. Please be sure to claim credits before the expiration date. 

Using Modifier 25 in Otolaryngology: Rewards and Ramifications 

Total Runtime: 1 hour and 36 minutes

Appending modifier 25 (Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service) to an Evaluation and Management (E/M) code, when also billing a minor procedure on the same day, typically results in payment for both services – the reward.  But is it correct?

Payors, including the Office of the Inspector General (OIG), have been auditing the proper use of modifier 25 and recouping millions of dollars from otolaryngologists – the ramification.  A common misconception is that the E/M code and procedure code are always billed together.  That’s just not true.  There are times when it is not appropriate to also report the E/M code but bill only the procedure.

We will examine the CPT guidelines about using modifier 25 as well as what Medicare says.  Several scenarios frequently encountered in otolaryngology practices will be reviewed.  You will have a better understanding of how to correctly use modifier 25 when performed with the common ENT minor procedures including:

• Nasal endoscopy
• Flexible laryngoscopy
• Endoscopic sinus debridement
• Excision of skin lesion, and
• Cerumen removal

**Note: CEU credits expire on 4/30/24 for this course. 

Course Access and Expiration

You will have access to this package for 30 days from the day you purchase it.

You will have 30 days to complete the course(s) within the package. 

The 30 days for a course starts the day you activate that course within the package.

Should you have questions, please contact us at education@karenzupko.com  

This course includes a digital workbook. This workbook is copyrighted and not to be shared with anyone other than the registrant for this course.

No physical workbook is available for this course. 

If you have any questions please email education@karenzupko.com 

What are some of the benefits of registering with KZA On-Demand?

• View at YOUR convenience—the course is online and authored by experts in the field
• Receive a printed, comprehensive workbook. Our workbooks are considered the gold standard in reference material
• Accredited for CME and CEUs
• You have 30-day access to the individual course(s)

Registering Multiple Attendees 

1. Create, or have each attendee create, a user account here. 
   1. If one person is creating all of the accounts you will need to log out each time to create the next account.
2. Log in with the account that you wish to pay through and add desired products to your cart. 
3. Once you have selected all the desired products, go to your cart. 
   1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
6. The attendee's name will appear in the registrant column under your own. 
7. Repeat this for each additional attendee.
8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at education@karenzupko.com or call 312 642-8310