Editor’s note: Please note that ACDIS and AHIMA accepted comments on this paper from December 7 through December 12 for possible incorporation into the final version. The version in the Journal does not include those changes and reflects the paper in its original form....Read More »
by Linnea Archibald
Winter is a time for hunkering down, a time to reflect as the year winds down and prepare as the new one approaches. November and December tend to be filled with a quiet sort of busyness, the kind of busyness that looks like lingering around a holiday dinner...Read More »
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 »
