Download the November/December 2020 edition of the CDI Journal!

CDI Journal - Volume 14, Issue 6

FEATURES
6 Interdepartmental collaboration for denials management
When it comes to denials management, interdepartmental collaboration is imperative for both preventing and appealing denials.

14 CDI leaders’ perspective on denials management
During a recent ACDIS Leadership Council meeting, members of the Council discussed their CDI departments’ involvement in denials management and shared lessons learned

22 Sepsis and malnutrition denials
It’s no secret that certain diagnoses seem to be frequent denial targets. Each year, respondents to the CDI Week Industry Survey say that both sepsis and malnutrition remain top denied diagnoses with little sign of those denial rates slowing.

34 Physician advisors and denials management
As with CDI’s involvement in any new project or venture, there are a number of avenues for involvement in the denials management and appeals process, and organizations may leverage their physician advisor differently.

DEPARTMENTS
4 Editor’s Note
Linnea Archibald provides a behind-the-scenes look at this edition of the Journal and discusses the value CDI professionals bring to the denials management and appeals process..

12 Associate Director’s Note
Melissa Varnavas shares a snapshot of today’s denials management landscape and the role CDI professionals play.

20 Podcast Recap
An assistant regional inspector general for the OIG joined Brian Murphy on the September 9 edition of the ACDIS Podcast: Talking CDI.

32 Research Corner
Howard Rodenberg discusses research findings related to mortality reviews.

38 Physician Advisor’s Corner
Trey La Charité shares current denial trends and offers advice for battling current payer tactics.

41 Meet a Member
Merle Zuel is a CDI advisor at Kansas City VA Medical Center and an active member of ACDIS’ Kansas City chapter since 2018.

OPINIONS & INSIGHTS
9 Strategies for clinical validation
Sydni Johnson and Denice Piwowar offer advice for dealing with the most common clinical validation targets.

18 Denial volumes as KPIs
Anneleah Williams-Bridges discusses the need for denial volume trending as a CDI key performance indicator.

27 CDI tips for top denied diagnoses
Brian Simpson shares his lessons learned from fighting sepsis, pneumonia, respiratory failure, malnutrition, encephalopathy, and acute kidney injury denials.

CONTINUING EDUCATION CREDITS
BONUS: Obtain one (1) CEU for reading this Journal ACDIS members are entitled to one continuing education credit for reading the CDI Journal and taking this 20-question quiz.

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ACDIS Guidance, Quality & Regulatory