CDI Journal - Volume 18, Issue 4

Guest column | Decoding the significance: Accurately capturing “suspected” catheter-associated bloodstream infections

July 1, 2024
Clinical & Coding, Denials & Appeals

by Pooja Patwal, MBBS(MD), CCS, CDIP, CHCQM

In the intricate web of today’s U.S. healthcare landscape, every diagnosis, treatment, and procedure holds significance for financial management and quality of care. Amid the myriad of conditions and diseases, “probable” catheter-...Read More »
CDI Strategies - Volume 18, Issue 4

Local chapter update: Your 2024 Local Chapter Agreement form must be signed by January 31!

January 25, 2024
ACDIS Guidance, Education

Every year, we ask local chapter and networking group leaders to fill out and sign the Local Chapter Agreement form to ensure your chapters have the support they need. You should already have...Read More »
CDI Journal - Volume 18, Issue 4

Guest column | Lions, tigers, bears, myocardial injury, ACS, and MINOCA, oh MI! (See what I did there?)

July 1, 2024
Clinical & Coding, Denials & Appeals

by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC

As CDI professionals, we face a challenge when the clinical meanings of words do not match the ICD-10-CM classification system. For records related to matters of the heart, the meanings of such words—e.g., chest pain, ischemia...Read More »
CDI Journal - Volume 18, Issue 4

Guest column | Denial-proofing your queries

July 1, 2024
Denials & Appeals, Physician Queries

by Angelica Cage, MBA, BSN, RN, CCDS, CCS, CDIP

Denials continue to be a pain point and significant challenge for every hospital across the nation. Whether inpatient or outpatient, denials are rampant. Denials also continue to strain revenue cycles in every organization. What can...Read More »
CDI Journal - Volume 18, Issue 4

Feature | Stemming the tide: Denial strategies for medical necessity, clinical validation, and DRG downgrades

July 1, 2024
ACDIS Guidance, Denials & Appeals

by Joshua Raposa

Ask any hospital in the country what their most pressing problems are, and one can almost guarantee that denials will make it into the top three. As ACDIS reported in a Journal...Read More »
CDI Journal - Volume 18, Issue 4

Guest column | Drowning in denials? Provide your organization a life jacket!

July 1, 2024
Denials & Appeals, Physician Advisors

by Kristin Wallick, MD, FCCP, Joseph A. Cristiano, MD, FACP, CCDS, CHCQM-PHYADV, and Eleanor K. Fertig, MD, ACPA-C, CCDS, CHCQM

The American College of Physician Advisors Clinical Documentation Committee strongly supports the importance of up-to-date, complete, and accurate...Read More »
CDI Journal - Volume 18, Issue 4

Physician Advisor's Corner | One strategy to prevent clinical validation denials

July 1, 2024
Denials & Appeals, Physician Advisors

by Trey La Charité, MD, FACP, SFHM, CCS, CCDS

Peers and colleagues who know me well are keenly aware that the word “denial” makes me irate. The main reason for my denial disdain is due to the fact that payers, who have had no patient contact whatsoever, believe they possess the...Read More »
CDI Journal - Volume 18, Issue 4

Meet a Member | ‘CDI: The next phase’

July 1, 2024
ACDIS Guidance

Salena Morgan, RN, BSN, CCDS, is the CDI network director at HonorHealth in Arizona. She has been in the field since 2012 and is a member of the Arizona ACDIS local chapter.

ACDIS: What did you do before entering CDI?
Morgan: Before CDI, I was...Read More »

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