Q: How do you measure productivity for a denials specialist? Do you measure the number of appeals per day, per week, or per month? Are there any other tasks that affect this metric?Read More »
As part of the 10th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Lori Dellinger, BSN, RN, CCRN-K, CCDS, a CDI specialist at WellSpan Health Summit in Chambersburg, Pennsylvania, a member of...Read More »
Every year, ACDIS celebrates clinical documentation specialists with a full week of activities, education, and fun. This year’s CDI Week theme is ACDIS Cinema—CDI: Coming to an Organization Near You, which aims to bring CDI professionals from behind the scenes and into the limelight,...Read More »
By now most CDI professionals have likely seen the July Office of Inspector General (OIG) audit report, which can be found here. If you haven’t, that...Read More »
The Office of Inspector General (OIG) will begin reviewing Medicare payments for COVID-19 discharges, according to a recent update to its ...Read More »
Did you know that nearly 41% of CDI departments are involved in the denials management or appeals process and nearly 40% of their denials come from private payers? Did you know that more than 80% of CDI professionals query, even when the query outcome only impacts a quality measure rather than...Read More »
The California Department of Managed Health Care (DMHC) has fined Aetna $500,000 for denying almost 93% of investigated emergency department (ED) claims. The fine is the result of Aetna wrongfully denying their members...Read More »
