By Melissa Varnavas
On July 20, 1969, American astronauts Neil Armstrong and Edwin “Buzz” Aldrin landed on the moon. In taking his first step, Armstrong uttered the historic words, “That’s one small step for man, one giant leap for mankind.”
The average outpatient visit in the U.S. costs nearly $500 and the average inpatient stay costs more than $22,000, according to a global study from the...Read More »
by Irina Zusman, RHIA, CCS, CCDS
Both ccommercial and public payers now deny about one in every 10 submitted claims, costing health systems up to 2% of net patient revenue, according to a March 2019 article in Modern Healthcare. As the cost of healthcare continues to skyrocket,...Read More »
Every year, organizations receive more denials, and payers’ tactics are shifting based on coding rules, clinical criteria, and their own whims.
As a result, many CDI teams find themselves involved with the denials management and appeals process—whether that means weighing in on a case-by-...Read More »
Thirty-eight hospitals filed a lawsuit against the U.S. HHS on January 18, alleging that that HHS Secretary Alex Azar overstepped his authority when he finalized an OPPS policy that cuts...Read More »
For CDI professionals working on denials management or appeals in any capacity, the payer side of the equation can often seem mystifying. Recently, ACDIS spoke with a coding professional working for a major private payer organization about her desire to sit for the new Certified Clinical...Read More »
