Recovery Audit Contractors (RAC) denied $86 million in claims in 2010—more than double the $42 million reported in the third quarter. Medically unnecessary services accounted for 57% of the denials, with 33% of these for short stay patients, according to the American Hospital Association’s (AHA...Read More »
The new Leadership in CDI Certificate from ACDIS demonstrates holders have proficiency in CDI leadership. Earn yours today by taking the CDI Leadership Boot Camp! Right now, Leadership Council members can get a special discount of $150 off the program.Read More »
Clarifying hospital-acquired conditions (HAC) and present-on-admission (POA) conditions represent just two additional aspects of medical record inspection CDI specialists are frequently asked to perform. Determining whether a condition was actually POA and not a HAC helps coders sequence...Read More »
A patient’s medical record could include a laundry list of diagnoses, but not all of these conditions may be reportable. Coders must determine when they can report conditions as “other” secondary diagnoses and when they must simply leave them off the claim entirely.
Q:I know that in an inpatient setting coders are allowed to use suspected diagnosis when a definitive diagnosis cannot be determined. However, we have had some trouble with physicians using the term “rule out” or “differential diagnosis”...Read More »
ACDIS Associate Editorial Director Linnea Archibald sends out “missed connections” emails with questions from Council members on a regular basis. Anyone with experience related to one of the questions was invited to respond and Archibald connected them with the question-asker. In order to share...Read More »
There has been much discussion based on what Recovery Audit Contractors (RAC) and other state and federal regulatory bodies are doing or what their next move will be (though does anybody really know?!?).
We’ve all heard the stories of denials of well...Read More »
Nearly 550 CDI professionals have registered to attend the 4th Annual ACDIS Conference in Orlando, April 7–8. That means more of your peers will be available to network with, share experiences with, and learn from. It also means that those who have already made their reservations have booked up...Read More »
