N&K CPAs Inc.

One of the largest locally owned certified public accounting firms in the State of Hawaii servicing local, national, and international clientele across the pacific.

Welcome to N&K CPAs,  Inc, one of the largest locally owned certified public  accounting firms in  the State of Hawaii. The firm was founded in 1973 with  the partnership  of Sadao Nishihama and Glenn T. Kishida. Today, the  firm has over 60  personnel, including six principals.

There are five major divisions in the firm: Assurance Services, Tax Services, Management Consulting, Information Technology, and Administrative Services. Together, personnel in these divisions provide clients with a full range of services from the traditional audit, tax, and bookkeeping services to business and technology consulting. There is also an international department which services our foreign clients.

Six ways to mitigate ICD-10 claim denials

Eventually deadline must be faced - even with a one-year reprieve. Many physicians whose practices were behind schedule in their plans to comply with the federally mandated transition to ICD-10 breathed a sigh of relief last April when Congress pushed back the deadline for one year to Oct. 1, 2015.

Nevertheless, physicians should not let the delay lull them into thinking they can relax their efforts regarding compliance. ICD-10 is structurally complex. The system provides greater specificity with more than five times the number of ICD-9 codes. Practices need to ensure that they're ready
when the deadline does arrive to avoid denials and the inevitable cash flow problems that would
ensue. This is particularly true for small and medium-sized practices without large reserves.

The Centers for Medicare & Medicaid Services (CMS) has estimated that claim denials will jump 100 percent to 200 percent in the early stages of ICD-10 implementation. But there are steps medical practices can take to mitigate the risk of denials and attendant cash flow issues.

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