It’s Health Information Professional (HIP) Week and that makes it the perfect time to celebrate the HIM professionals in our lives! Whether your CDI team includes HIM/coding credentialed individuals or not, CDI professionals by nature of their roles interact...Read More »
A Humana health plan in Florida overcharged Medicare by nearly $200 million in 2015 by incorrectly billing for high severity hierarchical condition categories (HCC) that were not supported, according to...Read More »
ST-segment elevation myocardial infarction (STEMI) patients who are COVID-19 positive “represent a high-risk group of patients with unique demographic and clinical characteristics,” according to a study published in the Journal of...Read More »
I was wondering if anyone had experience with denials from commercial payers that goes beyond the third level of appeals. We are getting response letters that state “completion of a level 3 dispute exhausts internal administrative rights.” What are other hospital systems doing with this response...Read More »
Technology is a huge part of any CDI department, but there aren’t always funds available for it. Do you work in a smaller organization with a lower budget for technology? Have you had to build technology and tracking solutions in-house for your department?
Join us next week on Thursday, April 29, at 1 p.m. eastern for the Sepsis Coding & Documentation webinar. This webinar dives into the coding and documentation specifics of one of the most stubborn diagnoses that CDI...Read More »
