“Would a rose by any other name smell as sweet?” Shakespeare asks us. Likewise, are denials so different across organizations and settings? At first glance, it might seem so. As the CDI profession expands, it develops more niches and areas of special expertise,...Read More »
As the denials and appeals team lead and coding doc-analyst at Parkview Health, I am very involved in our denials team and its processes. Health organizations have seen a steady increase in denials, and Parkview is no exception. We’ve seen an average of...Read More »
Most facilities find acute respiratory failure to be a commonly denied diagnosis, but this problem is not entirely without solution. For acute respiratory failure, the circumstances of the admission and the focus of care will determine the...Read More »
Are you a CDI specialist who feels like you’re spending an inordinate amount of time reviewing denial after denial after denial? Take a deep breath—it’s not just you....Read More »
Sepsis is one of the most prevalent diagnoses necessitating hospital admissions in the United States. According to the CDC, over 1.7 million people are diagnosed with sepsis in the U.S. each year. Not only does sepsis come with a higher...Read More »
In the intricate web of today’s U.S. healthcare landscape, every diagnosis, treatment, and procedure holds significance for financial management and quality of care. Amid the myriad of conditions and diseases, “probable” catheter-...Read More »
by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
As CDI professionals, we face a challenge when the clinical meanings of words do not match the ICD-10-CM classification system. For records related to matters of the heart, the meanings of such words—e.g., chest pain, ischemia...Read More »
