Q:We are receiving denials on the grounds that encephalopathy must be resolved prior to discharge in order to be present. How would you suggest we fight these denials?Read More »
by Denise Wilson, RN, MS, RRT, and Karla Hiravi, RN, BSN
Acute kidney injury (AKI) is a sudden and temporary loss of kidney function, while acute tubular necrosis (ATN) is kidney injury characterized by acute tubular cell injury and dysfunction. CDI professionals need to...Read More »
Recently, the American College of Emergency Physicians (ACEP) and the Medical Association of Georgia (MAG) came out swinging against an insurer, Anthem. The pair of associations filed lawsuit against Anthem for its recently-implemented policy of denying medical...Read More »
Last week, the AHA submitted four, non-deadline related remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the ALJ level in response to a federal judge’s request...Read More »
Cecilia Guardiola, RN, resigned from her position as corporate director of CDI after three months over concerns that Banner Health seemed to be billing Medicare improperly.Read More »
