by Alba Kuqi, MD, MSHIM, CDIP, CCS, CCDS, CRCR, CICA, CSMC, RHIA, CCM
CDI plays a pivotal role in the modern healthcare landscape. It ensures that health records accurately reflect patients' clinical status, interventions, and outcomes, according to Tammy Combs, RN, MSN, CDIP,...Read More »
In my experience, the term “quality” means different things to different people, even within the same organization. Additionally complicating the situation, the term is typically used in a narrative discussing related concepts such as...Read More »
Kenzi Brooks, CCS, CRC, CPC, COC, CCDS-O, is an outpatient CDI specialist at WVU Medicine in Morgantown, West Virginia. She has been in CDI since 2019 and started part time before stepping into a full-time role with the department.
ACDIS: What did you do before entering CDI...Read More »
FEATURES 6 Appeal writing 101 11 CDI-related denials, tracking, and tools for appeal 17 Case study: Medical necessity denials management 25 ...Read More »
While Dorothy worried about lions, tigers, and bears (oh my!), CDI professionals involved in the denials management process develop a sixth sense around certain diagnoses known to be at high risk of denial. While some courage, brains, and heart will get you...Read More »
Nowhere does work in the healthcare setting feel more like a courtroom than the denials arena. Hospitals and healthcare systems seek to provide the best quality of care to their patients, but that care can come grinding to a halt if an organization’s billing gets...Read More »
The process of denials and appeals is often referred to as a form of "word game" with players crafting persuasive arguments using specific language to present and counter claims. It’s important to recognize, however, that the stakes are
