12016Dec

7 Golden Rules for Reducing Hip Arthroscopy Denials

AAOS Now – December 2016 by Michael R. Marks, MD, MBA If a constant stream of denials for hip arthroscopy procedures frustrates you, know that you are not alone. These denials are a common source of angst for physicians. The good news is, if you know how to avoid common coding pitfalls, document correctly, and…

282016Nov

Five Often-Overlooked Areas of Medical Practice Risk

Physicians Practice – November 2016 by Karen Zupko The end of the year is a great time for physicians to review practice operations and policies and assess what’s being done well, what can be improved, and where priorities for next year lie. Reducing overhead and improving collections are no doubt high on that list. But…

12016Nov

2017 Spine CPT Code Changes

AAOS Now –  November 2016 by Kim Pollock, RN, MBA, CPC, CMDP Spine surgeons face a multitude of Current Procedural Terminology ® (CPT) code changes, effective Jan. 1, 2017. This article provides a summary of these changes so practices can get a head start on understanding their implications. A complete listing of changes can be…

12016Oct

Spine Practices May Lose Money When They Do Not Bill for Consults

Healio- October 2016 by Kim Pollock, RN, MBA, CPC, CMDP and Teri Romano, RN, MBA, CPC, CMDP Medicare eliminated payment for consultations in 2010, which resulted in significant revenue losses for spine surgeons and all specialists. All office consultations for Medicare patients became a new or established patient, or an emergency department visit if the…

12016Aug

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…

92016Jun

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…

192016Jan

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….

12015Nov

The Only Safe SMS Texting Is No SMS Texting

Greenbranch – Nov/Dec 2015 by Cheryl Toth, MBA, and Michael J. Sacopulos, JD Many physicians and practice staff use short messaging service (SMS) text messaging to communicate with patients. But SMS text messaging is unencrypted, insecure, and does not meet HIPAA requirements. In addition, the short and abbreviated nature of text messages creates opportunities for misinterpretation,…

12015Mar

Meaningful Use for Surgeons – It’s Not as Complicated as You Think

The American Journal of Orthopedics – March 2015 by Cheryl Toth, MBA It’s spring. Have you started your Meaningful Use reporting yet? More important, have you begun reporting at all? “Say the words Meaningful Use to most orthopedists, and they usually roll their eyes or shake their heads,” says Cheyenne Brinson, MBA, CPA, a KarenZupko…

12014Apr

Are Online Coding Discussions Putting Your Practice At Risk?

Medical Office Manager – April 2014 by Cheryl Toth, MBA Here’s an email we recently saw while monitoring a specialty coding listserv: We have a surgeon that says I am not an aggressive coder because I communicate to him when NCCI indicates that certain procedures are bundled, and now I am second-guessing myself. Can you…

262014Mar

Four Things to Know About ICD-10 and Prior Authorization

Physicians Practice – March 26, 2014 by Cheryl Toth, MBA When most practices think about the shift from ICD-9 to ICD-10, they think of changes to physician documentation, diagnosis code selection, and software upgrades. But ICD-10 is going to have a big impact on the pre-authorization process too. Here’s why, and what to do about…

92013Sep

Cyber Exposure by Proxy: Businesses Should Evaluate Data Security Risks Posed by Vendors

Bloomberg BNA, Health IT Law & Industry Report – September 9, 2013 by Michael J. Sacopulos A new metric is emerging for some corporations when selecting or retaining vendors. We are all familiar with the traditional metrics of price and competency. In this age of identity theft, data breaches and foreign hacking, the IT security…

12013May

Are Your Business Associate Agreements HIPAA (Omnibus) Compliant?

Plastic Surgery News Connection – 2013 by Karen Zupko If you’ve been “too busy” to update your Business Associate Agreements (BAAs) with every vendor who accesses your Protected Health Information (PHI), it’s time to pay attention. The HIPAA Omnibus Rule took effect September 23. Your practice is on the hook for ensuring that all these…

262012Sep

Upcoding: Is Your EHR Putting You at Risk?

Physicians Practice – September 26, 2012 by Karen Zupko Electronic health records are being blamed, in part, for the skyrocketing payments associated with level four and level five evaluation and management codes in private practices and hospital emergency departments. Over the last decade, the additional costs for E&M coding increases are estimated to be in…