Not all CDI teams are directly involved in the denials management or appeals process, but every CDI professional knows the value of avoiding a denial in the first place. CDI departments employ many methods, often concurrently, to target different issues related to...Read More »
Recently, the Kaiser Family Foundation analyzed transparency data released by CMS on claims denials and appeals data reported in 2020 and released...Read More »
Between 2015 and 2016, Peoples Health Network received about $3.3 million in overpayments, according to a recent audit conducted by the Office of Inspector General (OIG). The OIG estimated this amount from the diagnosis codes...Read More »
Q: Recently, we had a provider who responded to the multiple-choice query, but they didn’t pick the answer we wanted, even though it met the clinical criteria. I’ve been taught previously that when a physician selects a non-desirable answer, the CDI specialist should close the query...Read More »
With our newest July/August issue published, ACDIS is gearing up for the next edition of the CDI Journal. When considering all the important topics possible to cover this year, the growth of CDI into...Read More »
In just 60 days, the celebration of our annual CDI Week will commence! If you’ve kept up with our updates, you know our 2022 theme is “Under the Sea-DI,” highlighting the often underappreciated and unseen efforts...Read More »
Susan Fantin, MSA, BSN, RN, CCDS, CDIP, is the VP of integrated care management overseeing CDI, utilization management, denials management and case management/social work at McLaren Health Care in Grand Blanc, Michigan, and a current member of the ACDIS Advisory Board. She is...Read More »
