In today’s healthcare revenue cycle, collaboration between CDI professionals and coding teams is essential for accuracy, compliance, and financial performance. At the center of this collaboration is the DRG validation auditor—a
In a world full of denials, sometimes the best thing you can be is a denials specialist.
Joseph Freet, RN, CCDS, CCS, knows a thing or two about that. Freet is the CDI denials lead at UC Davis Health in Sacramento, California. With...Read More »
Even for the most advanced program with excellent provider engagement and education processes, a compliant query process remains central to CDI work. In an effort to streamline the query process and ensure each missive adheres to stringent compliance standards...Read More »
There is a balancing act that must be continually adjusted and fine-tuned when it comes to clinical documentation and even to coding. We don’t want overdocumentation or underdocumentation; we don’t want overcoding or undercoding. Simply...Read More »
Recent shifts in DRG denial volumes have negatively impacted hospital revenue by exponential proportions. In response to advancements in artificial intelligence and other audit technologies that may contribute to the increase, some hospitals are...Read More »
The landscape of healthcare denials has seen many shifts as codes change, best practices evolve, and governmental bodies adopt new standards. Despite the sophistication and persistence of denial volume from payers through these changes, Gregory Simms, BSN...Read More »
CDI programs have traditionally focused on ensuring that provider documentation supports coded diagnoses and reported data. In many healthcare organizations, CDI efforts often center on documentation completeness, provider queries, and alignment
