Code confidently with KZA’s guidance

Our coding experts are available to review and discuss a variety of coding and reimbursement issues. We can provide advice on E&M for most specialties, and surgical coding help is available for neurosurgery, orthopaedic surgery, spine surgery, otolaryngology, general surgery, vascular surgery and facial plastic surgery.

Hourly Coding Assistance

This service is for you if you have a few specific coding and documentation questions. Our coding experts review your questions offsite and then discuss your coding and reimbursement issues on a phone consultation. We provide advice for a number of specialties:

  • Orthopaedics
  • Otolaryngology
  • General Surgery
  • Physical Medicine and Rehabilitation
  • Pain Management
  • Plastic Surgery
  • Vascular Surgery
  • Neurosurgery

Please submit your question using the form below and we’ll get back to you with an estimate of the time involved. We typically charge $300.00 for this service, with a half hour minimum.

Hourly Coding Consulting Form

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Coding and Documentation Audits

Depending on your concerns, KZA works with your practice to assess and address coding and documentation strengths and weaknesses. Each of our projects is customized to your practice goals with the data sample size mutually agreed upon. Depending on your needs, you can choose either one or both of the following services:

Evaluation and Management Note Review

This is an evaluation of how well your Evaluation and Management (E/M) coding matches its supporting documentation.

This process begins when you send us a CPT frequency report per physician. We then identify the specific visit type and level we want you to pull for our review. We review the documentation, code the note, then compare it to the practice’s code(s). We then write a report of findings, along with any teaching points.

Surgical Case Coding Review

This process begins in one of these two ways:

  1. You provide us with a CPT frequency report by physician, and KZA identifies the types of cases that have the most financial and/or risk management impact.
  2. You identify which types of cases are challenging you from a coding and/or reimbursement standpoint.

For each case, you send us the operative report, the claim submitted and the EOB received.  We provide an evaluation of how appropriately you coded the surgical cases, and how accurately third party payors have reimbursed your practice.

Contact us at 312-642-5616 or information@karenzupko.com to learn more.

On-Site Coding and Documentation Education

Instead of sending several physicians and staff to an educational program, this option allows you to bring the same quality instructor to you.  In addition to learning about coding and documentation guidelines, these courses teach you how to navigate between coding specifics, process issues, and payor policies. We offer courses for a number of specialties:

  • Orthopaedics
  • Otolaryngology
  • General Surgery
  • Physical Medicine and Rehabilitation
  • Pain Management
  • Plastic Surgery
  • Vascular Surgery
  • Neurosurgery

Evaluation and Management Coding and Documentation

Bring the instruction to your practice with this workshop that covers everything you need to know about properly selecting an evaluation and management code, and correctly supporting it with documentation. The session also provides advice on developing effective data capture tools.

As a result of attending this course, participants will understand how to:

  • Code accurately and ethically, according to the latest HCFA and CCI guidelines
  • Correctly document each level of E&M service, according to HCFA guidelines
  • Properly use E/M modifiers
  • Accurately select new, established, consultation, and hospital visit codes
  • Use coding tools and resources to improve coding accuracy

CPT and ICD-10-CM Workshop

This workshop covers evaluation and management coding and documentation, plus, hands-on surgical case coding, and payment analysis techniques. We customize this course using your specific cases examples and issues.

As a result of attending this course, participants will understand how to:

  • Recognize the correct use of ICD-10-CM and CPT codes for specialty-specific cases
  • Use modifiers, levels of service, and unlisted codes accurately
  • Institute proactive systems for tracking carrier specifications and reducing receivables
  • Use sophisticated appeals strategies for following up on overdue amounts
  • Understand how managed care contract language can impact reimbursement

ICD-10-CM Workshop

This workshop offers a pragmatic approach to education that makes ICD-10-CM doable, not daunting.

We review ICD-9-CM frequency reports and sample documentation to assess your ICD-10-CM readiness and develop a customized program based on examples of your current documentation and code usage. We then develop a checklist of the high priority steps required to improve documentation detail, select appropriate diagnosis codes, and minimize denials and delayed payments under ICD-10-CM.

As a result of attending this course, participants will understand how to:

  • Demonstrate strategies to assess your practice for ICD-10-CM implementation
  • Identify relevant chapters and codes applicable to your specialty
  • Apply concepts to code selection
  • Identify gaps in your current documentation to begin improvement and changes to comply with ICD-10-CM coding specificity

Contact us at 312-642-5616 or information@karenzupko.com to learn more.