Every institution reading this column has likely received its first recovery audit contractor (RAC) denials regarding the documentation and coding of excisional debridement procedures (86.22). Our hospital is no exception. While we knew that this...Read More »
DRG (diagnosis-related groups) validation issues have been the main target of RAC (recovery audit coordinators) nationwide in recent months. When unclear documentation results in improperly assigned DRGs, it puts facilities at risk for RAC denials. However, an effective clinical documentation...Read More »
There have been a multitude of discussions in the CDI profession about denials, specifically clinical validations for the past several years. The question that one may ponder is why CDI isn’t leading the way of clinical...Read More »
