Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019 by Deborah Grider The initial and subsequent hospital codes 99221-99233 require specific documentation of the key components: history, examination, and medical decision-making. Read Full Article Copyright© 2019 The Society of Critical Care Medicine.
Category: Art-General Surgery
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Is Your Practice Not Getting Paid?
AAOSNow – July 2017 by Michael R. Marks, MD, MBA, and Cheryl Toth, MBA Coding May Not Be the Reason It’s easy to blame a practice’s skyrocketing accounts receivable (A/R) on coding and the insurance companies. But our experience with orthopaedic practices, and the results of AAOS/KarenZupko & Associates (KZA) pre-workshop surveys on coding and...
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Liability Management 101
Liability Management 101 – August 2016 by Michael R. Marks, MD, MBA Why Malpractice Insurance Is Not Enough Today’s orthopaedic practices are at a crossroads. Many face possible mergers or acquisitions and potential relationships with hospital systems and third-party payers. As the healthcare landscape shifts, so too does a practice’s professional liability exposures. Recently, I spoke...
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OIG Says “No Bonus Points” for Having a Compliance Plan
AAOS Now – July 2016 by Cheryl Toth, MBA New announcements and guidance push providers toward an active program If your practice is targeted for a Medicare audit, the Office of the Inspector General (OIG) will no longer give you points for having a compliance plan on the shelf. Unless you’ve operationalized that plan into an...
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The Revenue Engine that Could “Think You Can” by Refining the Revenue Cycle with the Right People, Processes, and Tools
Greenbranch – May/June 2013 Kim Pollock, RN, MBA, CPC Many physicians continue to wrestle with an economy-in-recovery and declining reimbursements. In this business climate, practices can’t afford reimbursement process mistakes and inefficiencies; they’re simply too expensive. Just a few denied surgical claims can cost a practice thousands of dollars. That’s the cost of the annual electronic...
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8 Things Your Medical Billing Service Should Be Doing
Physicians Practice – 2016 by Karen Zupko What has your billing service done for you lately? A good vendor does more than just submit claims, send three patient statements, and hope for the best. Here are eight things you should expect a billing service to do, in exchange for their service fee. Read Full Article
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Is Your Bariatric Practice Ready for Retail?
Mystery Shopping Results Indicate a Need for Improvement – April 2016 by Karen Zupko and Samantha Lappe After the news of a new, less invasive weight loss option hit the mainstream media last fall, millions of Americans began hearing about the gastric balloon procedure on television and in the news. And it’s likely that a number of...
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The Impact of ICD-10 Implementation
by Kyle M. Lee Survey finds a smooth road so far On Oct. 1, 2015, the 10th revision of the International Classification of Diseases (ICD) code set was implemented in the United States. This was the largest and most far-reaching change since the adoption of ICD-9 in 1979, and was anticipated to have a profound...
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Surviving in an ICD-10 World
by Deborah Grider, CPC, COC, CPC-I, CPC-P, CEMC, CPMA, CCS-P, CDIP Certified AHIMA Clinical Documentation Improvement Practitioner AHIMA-Approved ICD-10-CM/PCS Trainer The past few years we have focused closely on getting ready for ICD-10. In most cases, the transition to ICD-10 was successful. We had a few bumps in the road, but overall, things went well....
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Practice Transition Planning: When Is the Right Time?
The American Journal of Orthopedics – December 2015 by Karen Zupko, BSJ If you are a solo orthopedic surgeon or practice in a small group and are 55 years or older, this article is for you. The answer to the question “When is the right time to begin planning for the transition out of practice?”...
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