Did you know that nearly 41% of CDI departments are involved in the denials management or appeals process and nearly 40% of their denials come from private payers? Did you know that more than 80% of CDI professionals query, even when the query outcome only impacts a quality measure rather than...Read More »
Local chapter meetings don’t have to be all business! Lots of chapters are meeting during CDI Week, and that’s a perfect time to do some celebrating when everyone is together (socially distanced or virtually). While these celebratory meetings can (and should!) include educational sessions, they...Read More »
As a preview of the eleventh annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. These Q&As will continue throughout CDI Week, September 13-17 as well. Lashondra Tate, MSN, RN,...Read More »
The ACDIS team has been working remotely since March 16. Of course, the ACDIS team aren’t the only ones who’ve been social distancing and working remotely. As of ACDIS’ May survey, nearly...Read More »
The Centers for Disease Control and Prevention (CDC) recently updated their COVID-19 dashboard to include information about patient outcomes and comorbid conditions. While CDI professionals are well acquainted with the impact of comorbid conditions on patient severity of illness, risk of...Read More »
The California Department of Managed Health Care (DMHC) has fined Aetna $500,000 for denying almost 93% of investigated emergency department (ED) claims. The fine is the result of Aetna wrongfully denying their members...Read More »
Erratic and unpredictable claim volumes and a host of staffing issues top the list of COVID-19 related problems according to chief financial officers and revenue cycle leaders, according to a recent study commissioned by Alpha Health and conducted through...Read More »
Can you please clarify these 3 areas in the DRG Expert for me? Inclusion notes Exclussion1 notes Exclussion2 notes and how that translates in the coding world?Read More »
