FEATURES 6 A rose by any other name: Denials in unconventional settings 24 Case study: Addressing the collective problem of denials 29 Case study: Establishing...Read More »
Over the years, CDI has increasingly found themselves in the trenches of denials management. According to the 2023 CDI Week Industry Survey, just under 59% of respondents are currently involved in the denials management or appeals process at their organization...Read More »
“Would a rose by any other name smell as sweet?” Shakespeare asks us. Likewise, are denials so different across organizations and settings? At first glance, it might seem so. As the CDI profession expands, it develops more niches and areas of special expertise,...Read More »
As the denials and appeals team lead and coding doc-analyst at Parkview Health, I am very involved in our denials team and its processes. Health organizations have seen a steady increase in denials, and Parkview is no exception. We’ve seen an average of...Read More »
Most facilities find acute respiratory failure to be a commonly denied diagnosis, but this problem is not entirely without solution. For acute respiratory failure, the circumstances of the admission and the focus of care will determine the...Read More »
Are you a CDI specialist who feels like you’re spending an inordinate amount of time reviewing denial after denial after denial? Take a deep breath—it’s not just you....Read More »
Sepsis is one of the most prevalent diagnoses necessitating hospital admissions in the United States. According to the CDC, over 1.7 million people are diagnosed with sepsis in the U.S. each year. Not only does sepsis come with a higher...Read More »
