Facilities looking to establish or improve their denials management program should consider implementing a steering committee to set overarching priorities, review data, assess findings, and maintain communication channels between senior executives and...Read More »
Q: I’m doing a pilot program related to missed query opportunities in ED cases and I have a question about congenital conditions in outpatient billing. We recently came across documentation from an ED physician that stated a patient had “incidental congenital...Read More »
After the long holiday weekend, the ACDIS team is gearing up for a summer full of great local and national CDI events coming up over the next few weeks. Whether it’s a national or local event, we hope you’ll join in on the fun.Read More »
By Anny Yuen, RHIA, CCS, CCDS, CDIP, and Page Knauss, BSN, RN, LNC, ACM, CPC, CDEO
Advancements in medicine and technology shifted a variety of services that were once solely performed in the inpatient setting to the outpatient setting. The Medicare Payment Advisory Committee’s...Read More »
Industry expert Joe Osentoski reimbursement recovery and appeals director at Quality in Real Time (QIRT) in Troy, Michigan, answered a few questions on why solid documentation is so crucial in home health. He will be taking a deeper dive into documentation and avoiding claims denials during his...Read More »
Officially, the CDI specialist’s role is to facilitate accurate, complete, and consistent clinical documentation within the health record to demonstrate the quality of the care provided and to support coding and reporting of high-quality...Read More »
Lisa Farhar, RN, MSN, MBA, CCDS, is an advisory specialist at Deloitte and Touché, LLP, in Indianapolis, Indiana, and a member of the Indiana ACDIS local chapter.Read More »
Q: We recently had a patient come in with bilateral shoulder pain and numbness. The patient also had lung cancer, metastasized to spine. What should we sequence as the principal diagnosis? The patient is currently undergoing chemo therapy. Read More »
