Marketing and Empathy Psychology
Stop Downcoding—Protect Your High-Level E/M Revenue

By - Jill Arena & Anne Hirsch, MD

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A Complete System to Confidently Support Higher-Level E/M Codes

High-level E/M visits are some of the most valuable services your clinicians provide — yet downcoding continues to drain revenue from even the most efficient practices. A single 99205 mistakenly dropped to a 99203 can cost you more than $100 per visit, and over the course of a year, those losses easily climb into the tens of thousands.

Downcoding isn’t just a documentation issue — it’s a profitability issue.

The good news: downcoding is absolutely preventable. With the right strategy, your practice can confidently code high-complexity visits, stay fully compliant, and finally collect the reimbursement you’ve earned.

In this fast-paced 60-minute training, nationally respected practice management expert Jill Arena and physician leader Anne Hirsch, MD, will walk you through the exact steps successful practices use to:

  • Capture the true complexity of the visit
  • Align time, data, and decision-making with higher-level E/M codes
  • Eliminate the documentation habits that trigger automatic downcoding
  • Defend complex visits with clear, compliant clinical language

You’ll leave with practical tools your team can implement the same day.

What You’ll Learn

During this high-impact session, you’ll discover how to:

  • Use specific documentation language that clearly supports higher-complexity E/M levels
  • Track and capture total visit time without slowing down workflow
  • Avoid the top undercoding mistakes clinicians make every day
  • Appropriately incorporate Social Determinants of Health to justify higher-level codes
  • Use your EHR to surface the details auditors look for
  • Replace “risky shortcuts” that lead to automatic downcoding
  • Analyze real patient scenarios and learn how to code them correctly
  • …and much more

This training focuses on ethical, compliant, fully defensible coding — giving you the confidence to code at the correct level every time.

Who Should Attend?

This training is designed for:

  • Providers
  • Coders
  • Billing staff
  • Practice managers
  • Anyone involved in documenting or coding office visits

If your practice provides complex patient care and you want to get paid accurately for it, this session is for you.

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Choose an option
Live
$299.00
Recording
$299.00
Transcript
$199.00
DVD
$299.00
Flashdrive
$299.00
Live, Recording & Transcripts
$499.00
Live + Recording
$399.00
Live + Transcript
$399.00
Recording & Transcript
$399.00
Flashdrive & Transcript
$399.00
DVD & Transcript
$399.00

2025 Update Add-ons

Product price: $199.00
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Speaker Detail

Jill Arena & Anne Hirsch, MD

Jill is the CEO of Health e Practices, LLC and leads its operations. She is a nationally recognized expert in medical practice finance and operations, as well as revenue cycle management and leadership development. She is a serial entrepreneur and has co-founded several different entities and is a frequent speaker and convener in the medical community. She earned her Fellowship from the American College of Medical Practice Executives in 1999, and she currently serves on the boards of several physician groups in a key advisor role. She is the author of Physician, Heal Thy Financial Self, which is written for physicians who want to master the finances of their practices, and she produces a weekly podcast for physicians and administrators, called Medical Money Matters. In a career spanning more than 30 years, Jill has guided the launch of more than 90 new medical clinics in multiple states. During her work with Health e Practices, she has served several medical groups in interim leadership positions as CEO and Administrator while helping them to conduct successful national recruitment efforts. Given her passion for leadership development, she co-founded The Physician Leadership Project in 2020, which is a yearlong program for high potential physician leaders. Working with the faculty at that not-for-profit, she enjoys convening groups of physicians and walking with them through their professional development into formal leadership roles. Jill derives a great deal of professional satisfaction from guiding clients through important transitions in their practices to ensure that their businesses thrive. She wholeheartedly believes that the practice of medicine can and should be both financially viable and joyful. Anne Hirsch MD Medical Director, Senior Consultant, Peer Physician Coach, Health e Practices, LLC Dr. Hirsch is an internal medicine physician with over 30 years of experience. She is also a certified peer Physician Coach and is welcoming new clients. Her mission as a coach is to help physicians and other medical professionals to reach their full potential and alleviate some of the stress associated with practicing medicine. Her goal is to help physicians to see beyond the frustrations of their medical practices and move toward designing a medical practice and a life that they love and find to be fulfilling. She works with clients to find work-life harmony to allow them to continue to practice their beloved profession in a way that sustains and motivates them. She has a great passion for helping other physicians understand the coding and billing system so they can maximize their reimbursement and be paid fairly for their long hours of work and all of the care they render to their patients. She has helped to develop Health e Practices’ CodeMastery program and enjoys working with physicians in all specialties on both rote CPT coding and on HCC coding as well.

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