Insurance claim denials and DRG downgrades are frequent concerns and growing areas of focus for CDI programs. CDI functions have expanded to include denial mitigation in their record review process, seeking to capture patient complexity, clarify documentation inconsistencies, and clinically...Read More »
ACDIS developed the Certified Clinical Documentation Specialist-Outpatient (CCDS-O) to provide a trusted baseline of competency for CDI in the outpatient setting. Currently, the CCDS-O exam uses the CMS-HCC Risk Adjustment Model Version 24, but the exam will be updated to Version 28 on October 1...Read More »
In a previous version of CDI Strategies, we shared a few suggestions for how you might celebrate CDI Week with your chapter this September 16-20. This week, we want to hear from you...Read More »
I’ve written before about how I loved being a student all through my educational years, and I think many of you reading this article are in the same boat with me. That’s one of the things that attracts professionals to the CDI industry: There’s always...Read More »
According to a recent KFF analysis, healthcare organizations are submitting more prior authorization requests to Medicare Advantage (MA) plans than they...Read More »
A new clinical study suggests that a combination of three factors—high-sensitivity C-reactive protein (hsCRP), LDL cholesterol, and lipoprotein(a), or lp(a)—can accurately predict women’s 30-year risk for both coronary heart disease and stroke,...Read More »
A cohort study published in the Journal of the American Medical Association (JAMA) found that the detection of incident stroke events is moderately accurate when using ICD-10-CM...Read More »
As part of the 14th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Kelly Benson, BSN, RN, CCDS, CDI regional manager at Memorial Hermann Health in Houston, Texas, answered these...Read More »
