You can’t manage what you don’t understand. So, the first step in any effective denials management program is to develop an understanding of the what constitutes a denial, as well as the different types of denials and their contributing causes.
The ACDIS advisory board recently announced a new timeline for applications and elections to serve on the board. Beginning in 2017, the application period will open in mid-January. Candidates will have three weeks to complete their application. A committee will...Read More »
Every year the Office of the Inspector General (OIG) publishes a list of its audit targets for the following calendar year. Although this hefty tome tops 100 pages, it’s worth a review to ensure the OIG’s targets aren’t diagnoses and documentation trouble spots at your facility.Read More »
Q: One of my CDI specialists thought we needed the phrase “unable to clinically determine” as an option on every multiple choice query we send. My take on it is that if we have “other” with an option for free text, that would cover us for compliance. Further, I thought...Read More »
Three different regions in New York started CDI networking outreach in the last month—Westchester (County), Central (regional near Syracuse), and Champlain Valley (connecting CDI professionals on both side of the great lake in Vermont and New York).Read More »
CMS will hold a MLN Connects® National Provider Call on Monday, December 12, 1:30-3 p.m., Eastern, regarding the 2016 hospital appeals settlement update, which became available to providers with outstanding claims denials as of December 1.
On November 3, 2016, CMS provided details on the...Read More »
