CDI Strategies - Volume 15, Issue 19

Note from the Editor: May is Mental Health Awareness Month

May 13, 2021

by Carolyn Riel

I remember having a conversation with one of my cousins only a month or two before the COVID-19 pandemic began in 2020, and she told me that she started seeing a therapist, that it was a very beneficial experience.

“What are you going for?” I asked in much...Read More »
CDI Strategies - Volume 15, Issue 19

News: UnitedHealthcare to use Sepsis-3 criteria for pre-pay reviews

May 13, 2021
News

UnitedHealthcare has announced that, effective July 1, 2021, Medicare Advantage and commercial claims for sepsis-related treatment may be reviewed on a pre-payment...Read More »
CDI Strategies - Volume 15, Issue 19

News: AI to surpass telehealth in healthcare investment priority

May 13, 2021
News

Artificial intelligence (AI) investment could surpass that of telehealth in the next three years, according to a...Read More »
CDI Strategies - Volume 15, Issue 19

News: OIG audit finds Virtua Our Lady of Lourdes Hospital received $4.8 million in over payments

May 13, 2021
Denials & Appeals, News

The Office of Inspector General (OIG) performed a provider compliance audit of the Virtua Our Lady of Lourdes Hospital and found that the hospital received overpayments of approximately $4.8 million between January 1, 2016 and...Read More »
CDI Strategies - Volume 15, Issue 19

Q&A: EHR in-basket queries

May 13, 2021
Ask ACDIS, Physician Queries

Our organization received a denial stating that our EHR in-basket queries are not compliant because

  • They were answered in an email format
  • They did not adhere to published query compliance recommendations
  • They did not include the proper physician/signature
    • ...Read More »
CDI Strategies - Volume 15, Issue 19

ACDIS update: CEU opportunities

May 13, 2021
Education

Are you looking for some opportunities to earn more continuing education units (CEUs) towards your Certified Clinical Documentation Specialist (CCDS) certification? We have lots of options for you!

...Read More »
CDI Strategies - Volume 15, Issue 19

Journal excerpt: Home health communication, reporting structures

May 13, 2021
Outpatient CDI

CDI programs launching in the home health space need to understand the communication dynamics at play within this setting and how separate departments with separate reporting structures can still work together. A hospital CDI program often has physicians and other departments all under one roof...Read More »
CDI Strategies - Volume 15, Issue 19

ACDIS update: Physician PRO demos

May 13, 2021
Education, Physician Queries

Strong physician documentation is key to ensuring correct reimbursement, accurate quality scores, decreased denials, and most importantly, positive patient outcomes. ACDIS...Read More »

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