Founded by Oskar Guyton and Dr. Robert S. Gold in 2002, DCBA helps medical facilities achieve an accurate representation of their patients’ illnesses and procedures through documentation in the medical record. Dr. Gold gained inspiration for his educational methods through years of experience as a physician and as a healthcare consultant. Dr. Gold has shared his extensive knowledge and educational methodology with the other consulting physicians, nurses and coders of DCBA. They have helped over 100 hospitals institute successful clinical documentation improvement programs as well as having pointed out opportunities for education in documentation and coding practices found during medical record audits, both in the inpatient and outpatient arenas.
DCBA has worked with several children’s hospitals in all regions of the country. Our pediatric experience includes the implementation of pediatric documentation improvement programs along with medical record assessments and other consulting services.
DCBA has an experienced and strong senior staff. Our team members have diverse backgrounds that enable them to provide top-level service to our clients. Our senior staff members have expert knowledge of our industry and are nationally respected for their contributions. Due to the specific nature of pediatric medicine, we have staff dedicated to the service of children’s hospitals.
- Daniel Catalano, MD, FACOG
- Cesar M. Limjoco, MD, VP of Clinical Services
- Paul Dickson, MD, CCS
- Timothy R. Schulte, MD
CLINICAL DOCUMENTATION CONSULTANTS
- Ashley Ezell, BSN, MBA-HCM, RN, CCDS
- Shane M. Catalano, RN, BSN
- Samantha Suggs, CCS
- Kelli Estes, RN, CCDS
- Randy Wagner, BSN, RN, CCS
SENIOR INFORMATION TECHNOLOGY STAFF
Dr. Robert S. Gold is co-founder of DCBA, Inc., and has more than 45 years of experience as a physician, medical director and consultant. A graduate of Hahnemann Medical College in Philadelphia, he trained in General Surgery in the U.S. Navy where he spent his professional career as a practicing surgeon. Since leaving the service, he has worked as a consultant in the fields of Managed Care Medicine, Locum Tenens, Home Health, Hospital accreditation and licensure and, most notably over the past ten years, in audit and education regarding documentation, coding and billing accuracy (DCBA) for healthcare services.
Nationally known for his education regarding the clinical orientation of coding in AHIMA teleconferences and at the National Conference for the Society for Clinical Coding, Dr. Gold is a frequent speaker at industry conferences and is widely published.
Oskar Guyton, co-founder of DCBA, Inc., has more than 25 years of experience in the healthcare industry. He has provided consulting services to a variety of healthcare providers including multi-hospital systems, community hospitals, home health agencies, nursing homes and physician companies. Oskar was previously a senior manager with Ernst & Young responsible for the development of compliance solutions including an internet-based training program and compliance auditing and monitoring software. Other responsibilities included providing and managing the development of compliance programs, Medicare cost report reviews, due diligence projects, financial audits and the implementation of compliance training solutions to various facilities including a 40-hospital system.
A Certified Public Accountant, he is a member of the Health Care Compliance Association and Healthcare Financial Management Association as well as a Fellow in the Healthcare Financial Management Association. Oskar received his B.S. from the University of Alabama in 1985 – Roll Tide!
Dr. Daniel Catalano has over 25 years of experience as a physician, physician executive and consultant. While at DCBA, he has directed the implementation of more than fifteen Clinical Documentation Improvement programs. Many of these programs took place at pediatric facilities allowing him to develop a specific expertise in CDI Programs at children’s hospitals as well as an appreciation of the unique nature of pediatric medicine.
As a physician executive, he served as Medical Director and VPMA/ Chief Medical Officer for two hospital systems. In these roles, he trained all active medical staff in electronic medical record software. He has developed and managed the implementation of clinical documentation improvement systems and has been a physician team member in seven information system installations.
A 1986 graduate of Loma Linda University School of Medicine, he performed his internship and residency in Obstetrics and Gynecology at Glendale Adventist Medical Center. After serving in the United States Air Force, Dr. Catalano was in private practice for 13 years, holding various medical staff leadership positions during this time.
Dr. Limjoco has over 25 years of experience as a consultant with significant expertise in the capture of severity of illness in clinical documentation. Since 2005, serves as Vice President of Clinical Services of DCBA, Inc. performing coding and clinical documentation assessments and implementing, maintaining and revamping Clinical Documentation Improvement Programs (CDIP). Served as Senior Director of IPRO, New York’s Peer Review Organization/Quality Improvement Organization’s Payment Error Prevention Program (PEPP) from 2000-2002 and editor of PEPP Update, IPRO’s newsletter. Also served as a physician advisor for a major health insurance company in the Northeast. A frequent speaker on various clinical coding issues, he has delivered presentations before hospital medical staff, management and ancillary staff. He has presented at numerous professional associations, including AHIMA, ACDIS, HFMA, and AHA. Served as Chair of the New York Medical Coding Section and State Roundtable Coordinator for the Society for Clinical Coding.
Client list includes Mayo Clinic Health Systems (La Crosse, WI), Indiana University Health (Indianapolis, IN), University of Virginia Health System (Charlottesville, VA), University of Wisconsin Health (Madison, WI), Altru Health System (Grand Forks, ND), Sparrow Health System (Lansing, MI), Legacy Health System (Portland, OR), Advocate Trinity (Chicago, IL), Florida Hospital Heartland Medical Center (Sebring, FL), Gundersen Lutheran Health System (La Crosse, WI), Western Maryland Health System (Cumberland, MD), Holy Cross Hospital (Fort Lauderdale, FL), Gottlieb Memorial Hospital (Chicago, IL), Pacific Hospital of Long Beach (CA), Virginia Hospital Center (Arlington, VA), Trinity Regional Medical Center (Fort Dodge, IA), Cheshire Medical Center (Keene, NH), Shawnee Mission Medical Center (Shawnee Mission, KS), St Joseph Medical Center (Houston, TX), Valley Health (Ridgewood, NJ) and others.
Dr. Timothy R. Schulte is a Board Certified Family Practioner with nearly thirty years of clinical experience. He attended Medical school and completed his residency at the University of Louisville. He then went into solo practice for close to ten years in his hometown in northern Kentucky. Following that, he went to work for the local hospital as a house physician. It was during his last seventeen years as a house physician at a hospital in Ft. Thomas, Kentucky that he became involved in the field of clinical documentation improvement. He was instrumental in setting up the first documentation program at that hospital and later became Medical Director for several programs within The Health Alliance of Greater Cincinnati. Having both an extensive clinical background as well as years of experience in documentation improvement affords him the unique ability to translate from physician language to the type of terminology needed to help reflect true severity of illness in the patient medical record. Since coming to work for DCBA, Dr. Schulte has led the development of several successful documentation improvement programs.
Dr. Paul Dickson has more than 25 years of healthcare experience, initially as a corpsman in the US Navy, a practicing general surgeon in N.E. Georgia and now a healthcare consultant. Dr. Dickson has provided a wide variety of consulting services to health systems, hospitals, physician practice management groups and physicians nationwide. Some of these services include physician liaison training, clinical documentation improvement education for physicians, HIM staff, and nurse clinicians/case managers, quality reviews, and CPT coding and billing along with evaluation and management documentation training. He has also provided DRG and CPT Compliance and quality reviews in both inpatient and outpatient setting.
Dr. Dickson was certified by the American Board of Surgery during his years of surgical practice and also obtained certification in inpatient and outpatient coding and billing through the American Health Information Management Association and the American Academy of Professional Coders. A graduate of Georgia State University, he holds a Doctorate in Medicine from the Medical College of Georgia, where he also completed his surgical residency.
Ashley Ezell has over 20 years of nursing experience as a registered nurse in the areas of emergency medicine, pediatrics and primary care with a focus on early childhood growth and development. In addition, six of those years have been spent as a clinical documentation specialist and consultant. She has been a principal team member involved with implementing documentation improvement programs in several of the nation’s leading pediatric hospitals. Recently, she had the opportunity to continue working as a clinical documentation specialist to provide additional documentation support and expertise to the physicians and CDI staff in one of the pediatric hospitals after program implementation.
She provides expertise in implementation of clinical documentation improvement programs in pediatric, acute care, and long term acute care (LTACH) facilities; denial management in private physicians’ offices and hospitals; auditing for physician Evaluation and Management and Compliance Auditing for an Inpatient Rehabilitative Medicine facility that was under a Corporate Integrity Agreement.
Ms. Ezell earned her BSN from the University of Alabama and her MBA from University of Phoenix.
Shane Catalano has been working with DCBA, Inc. since 2008. She has over 35 yrs of nursing experience with broad practice in management, education and marketing, and has practiced nursing in multiple areas including the fields of emergency, pediatric intensive care, operating room/recovery and organ procurement.
Shane has served as a CDI consultant at several standalone pediatric hospitals across the country. Blending her clinical career with educating physicians, nurses and coders in the importance of accurate documentation has allowed Shane to enjoy her love of education with her joy of caring for children.
In addition to an extensive clinical background in pediatric tertiary care, she was a clinical analyst at a major university medical center in California, her responsibilities included managing the development and implementation of a Value Improvement Program, a cost effective practice system. This involved financial and operations studies to assist management and physicians in decision processes, development of inpatient practice protocols and implementation of an outcomes measurement system.
Samantha Suggs has an extensive educational background including a Bachelor of Science in Psychology and a program in premedical sciences. Samantha worked in patient care at Northside Hospital in Atlanta before taking a research position at Emory University which she held for several years. She then completed a course in medical billing and insurance coding and became a certified coding specialist through the American Health Information Management Association. Shortly thereafter she accepted a position with DCBA and has assisted in successfully implementing several clinical documentation improvement programs.
Kelli Estes is a 1993 graduate from Eastern Kentucky University and has over 18 years of experience as a registered nurse in multiple clinical areas. Additionally, Kelli has spent over a decade as a clinical documentation specialist and consultant. She holds the CCDS certification through ACDIS and was in the first group of participants to sit for the exam. Kelli’s past experience also includes working closely with risk management, utilization review, case management, and core measure teams. The working relationship with these areas has afforded her an opportunity to better understand the impact of CDI in the overall healthcare organization.
Since joining DCBA in 2005, Kelli has assisted with project management in well over a dozen CDI program implementations across the country to include hospitals as small as 200 beds up to large teaching hospitals. She is highly skilled in the overall process of CDI program start-up and enjoys guiding the decision-making required to implement and sustain longevity in any viable program. Kelli has also been involved in CDI program follow-up assessments and thoroughly enjoys using her expertise to assess and identify areas for improvement. She is highly motivated to assist clients in achieving their goals for success!
Randy Wagner has more than a decade of experience as a clinical documentation improvement and coding consultant educator and mentor with multi-decade experience as a registered nurse in various clinical settings. She has experience as an academic nursing educator and contributor to curricula development. Clinical Documentation Improvement Program consulting gives Randy the opportunity to provide personal mentoring on the key elements of clinical documentation that may be translated into the most proper and accurate ICD-9-CM, CPT E&M code assignment that best reflects severity of illness of the patient with the quality of care provided. “Educating and mentoring is my passion.” Randy is a graduate of The Ohio State University. Prior to her association with DCBA, she was the Documentation Compliance Program Education Coordinator of a multi-campus healthcare system in Ohio. She has been a seminar presenter and contributor to healthcare publications.
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