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. What’s…


Is Your Electronic Health Record Putting You at Risk for a Documentation Audit?

The American Journal of Orthopedics — Fall 2015 by Cheryl Toth, MBA A group of 3 busy orthopedists attended coding education each year and did their best to accurately code and document their services. As a risk-reduction strategy, the group engaged our firm to conduct an audit to determine whether they were documenting their services properly and to provide…


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 & Associates consultant…


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 confirm whether or not 23130 and 20680…


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 it. Read Full Article


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 of…


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 vendors have…


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 the billions.…