Membership update: CDI Journal offers tips for denials management

CDI Strategies - Volume 11, Issue 40

No matter how diligent the CDI team, payers will still issue claims denials. Because of this well-known fact, the September/October edition of the CDI Journal pulls together a number of voices on the subject of denials management, appeal writing, and the role CDI specialists play in mitigating the effects of such post-discharge scrutiny.

This issue includes three, long-form feature articles telling the story of CDI in denials prevention from three different angles:

  1. Gain physicians’ perspectives on the denials management and appeals process
  2. Dive into the world of denials management teams.
  3. Learn how mortality reviews can protect your facility’s quality scores and reimbursement.

This edition also includes several guest columns delving directly into first-hand advice and experience of those working in the field including:

  1. Glimpse behind the curtain with Rachel Strom, RN, a former MAC reviewer.
  2. Learn how to form a denials management team from scratch from Janie L. Brown, RN.
  3. Take a peek inside Coding Clinic, Third Quarter 2017, with Sharme Brodie, RN, CCDS.
  4. Dig into commonly denied diagnoses with James S. Kennedy, MD, CCS, CDIP.
  5. Understand how to collaborate with others to focus on quality with Cheryl Manchenton, RN, BSN.

No facility is immune to denials. Developing methods for fighting and preventing them is a choice. Jump into the CDI Journal to start your fight.