Presenting your authentic self is a key factor in reaching personal and organizational success. In CDI, we have great opportunities to promote authenticity on our teams. The ability to present your authentic and genuine self has many benefits,...Read More »
Clinical validation denials are those in which a payer denies a claim based on the grounds that the coded diagnosis (or diagnoses) did not meet the clinical criteria for that condition. CDI professionals involved in appealing these denials often complain that...Read More »
Maternal mortality and morbidity are critical issues that continue to affect the healthcare industry worldwide. As a nurse with over 20 years of experience in various healthcare settings, including adults, neonatal, and high-risk...Read More »
In the ever-evolving landscape of healthcare, physician documentation has transcended its traditional role of capturing clinical care and has become a linchpin of the revenue cycle process. As healthcare organizations face increasing pressures to...Read More »
Amanda M. Palacios, MPH, RHIA, is the system HIMS director at Riverside Health System in Newport News, Virginia. She has been in the CDI field for 11 years and is an active member of the ACDIS CDI Leadership Council.
ACDIS: What did you do before entering CDI, and...Read More »
As rate cuts are expected to affect revenue in 2023, healthcare organizations are about to up their strategies in denials management. Most practices plan to continue their telehealth operations in the new year, according to the recent 2023 Part B News...Read More »
In a recent report by the OIG, incorrect modifier usage led to an estimated $4.9 million in overpayments from 2017 to 2019. While investigating instances of incorrect co-surgery and assistant-at-surgery modifier usage, their...Read More »
