by Carolyn Riel
The inpatient prospective payment system (IPPS) was first implemented in 1983 to help combat unnecessary or excessive services being charged when Medicare was reimbursing on a fee-for-service model. Before the IPPS, the International Classification of Diseases (...Read More »
by Leyna Belcher, MSN, RN, CCDS, CCDS-O
According to Margaret Thatcher, “You may have to fight a battle more than once to win it.” In healthcare, the ultimate ongoing battle is fighting denials. These denials have become a battleground as payers lack oversight and are inconsistent...Read More »
by Carolyn Riel
CDI programs can take many approaches to manage denials, whether they focus on physician documentation education, have a team member dedicated to writing appeals, or anything in between. For Kimberly Huff, COC, CCDS, clinical validation denials...Read More »
by Melissa Varnavas
My parents transferred me from public school to Catholic school in second grade. We were Methodists at the time. That year, my Catholic school counterparts were earning their first communion bona fides. During such lessons, I was left alone in the classroom...Read More »
by Carolyn Riel
All CDI professionals, whether new to the field or industry veterans, should be familiar with the American Hospital Association’s (AHA) Coding Clinic. “They are one of the leading authorities, and their advice is there to help us as CDI and coding...Read More »
by Howard Rodenberg, MD, MPH, CCDS
Socrates tells us that “the unexamined life is not worth living.” We might do better than to take advice from a man so disliked by his fellow Athenians that he was forced to drink hemlock, and whose final words were an ironic request to sacrifice...Read More »
by Alba Kuqi, MD, MSHIM, CDIP, CCS, CCDS, CRCR, CICA, CSMC, RHIA, CCM
Acute respiratory distress syndrome (ARDS) is an acute respiratory illness characterized by bilateral chest radiographical opacities with severe hypoxemia due to non-cardiogenic pulmonary edema. Since its...Read More »