Q: According to one of our private carriers, we should report bilateral services with modifier -50 (bilateral procedure) for physician claims in one of the following ways:
Report modifier -50 on two service lines with 1 unit each
Not all CDI departments are directly involved in denials management. However, every CDI specialist plays a vital role in denials management through concurrent chart reviews and collaboration with healthcare providers. Sepsis, acute...Read More »
Healthcare organizations are positively affected when CDI is directly involved in the justification of medical necessity, reimbursement claims, and the improvement of patient outcomes. When clinical documentation practices are not held to...Read More »
by Cathy Farraher Nakhoul, RN, BSN, MBA, CCM, CCDS
Successfully managing inpatient stay denials should begin long before they occur and depends on having excellent case management, CDI, and coding departments. Although these departments have differing duties, they all play a part...Read More »
Every year, ACDIS celebrates all those who belong to the CDI profession with a full week of recognition sharing education, resources, and activities. CDI Week 2024 will take place September 16–20, and this year, the theme...Read More »
FEATURES 6 A rose by any other name: Denials in unconventional settings 24 Case study: Addressing the collective problem of denials 29 Case study: Establishing...Read More »
Over the years, CDI has increasingly found themselves in the trenches of denials management. According to the 2023 CDI Week Industry Survey, just under 59% of respondents are currently involved in the denials management or appeals process at their organization...Read More »
