As Medicare Advantage (MA) plans continue to expand, a new report suggests this growth has had a disproportionate, detrimental impact on rural hospitals and the communities they serve. Read More »
Q: Does anyone have experience with denials based on the Global Leadership Initiative on Malnutrition (GLIM) versus the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria?
Response #1: First, as to criteria, it should...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. Lori Ganote, MSN, RN, CCDS, system director of clinical documentation integrity at Baptist Health System in...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. Debbie Breton, BSN, RN, CCDS, ACDIS-approved CDI educator at Providence Health & Services in the Oregon region...Read More »
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 »
According to a recent KFF analysis, healthcare organizations are submitting more prior authorization requests to Medicare Advantage (MA) plans than they...Read More »
The full agenda is now available for the 2024 Revenue Integrity Symposium (RIS), held by the National Association of Healthcare Revenue Integrity (NAHRI)! This year, their third track has been dedicated fully to denials...Read More »
