CDI Journal - Volume 12, Issue 2

Case Study: A new role for CDI: Appeals and analysis

March 1, 2018
CDI Expansion, Denials & Appeals, Quality & Regulatory

As the CDI profession matures, programs are instituting career ladders to create advanced positions for seasoned CDI professionals looking for a change in their responsibilities. Whether it be the addition of a second–level reviewer, an educator, or even an informaticist, the options for CDI...Read More »
CDI Strategies - Volume 12, Issue 1

Q&A: Handling respiratory failure denials

January 4, 2018
Ask ACDIS, Denials & Appeals, Quality & Regulatory

Q: We’ve been getting denials on acute respiratory failure from Medicare Advantage plans. How would you suggest we fight these denials?Read More »
CDI Blog - Volume 11, Issue 245

Q&A: Monitoring additional documentation requests

December 11, 2018
Ask ACDIS, Denials & Appeals, Quality & Regulatory

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?Read More »
CDI Blog - Volume 11, Issue 236

Advice from the Chapter Advisory Board: CDI and clinical denials

November 28, 2018
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

According to a 2017 poll on the ACDIS website, 44% of respondents said their CDI team was not involved with denials management or the appeals process and had no plans to get involved in the...Read More »
CDI Blog - Volume 11, Issue 222

Guest post: Four steps for establishing a coding and documentation denials initiative

November 8, 2018
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

by Lynette Kramer, MA, RHIA

A contemporary denial avoidance and management program should be a cross-functional, ongoing initiative.Read More »
CDI Blog - Volume 11, Issue 220

Q&A: Setting expectations for denial management

November 6, 2018
Ask ACDIS, CDI Expansion, Denials & Appeals

Q: How can we develop clear expectations for our denial management program?Read More »
CDI Blog - Volume 11, Issue 205

Q&A: Payer sepsis criteria

October 16, 2018
Ask ACDIS, Clinical & Coding, Denials & Appeals

Q: What sepsis criteria does CMS prefer people use? Do other insurance plans let you know which sepsis criteria they use to review claims?Read More »
CDI Blog - Volume 11, Issue 201

Radio Recap: Denial trends and strategies

October 10, 2018
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

It seems that there’s a new headline every day related to denials and audits. Not much has changed when it comes to the content of those denials, though, according to Brett Hoggard, MD, chief medical officer of the Brundage Group, based in Tampa, Florida.Read More »

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