Possibly the greatest financial challenge healthcare organizations face day-to-day is the consistent influx of denied claims. According to a recent KFF...Read More »
Kaiser Permanente has reached a settlement agreement with the United States Department of Justice over documentation practices impacting some Medicare Advantage (MA) risk adjustment payments from 2009‒2018. According to the Office of Inspector General (OIG)...Read More »
9 CDI and denials management: Types, tactics, and structures across settings 17 Case study: The role of the CDI denials specialist 24 Advice from the field: Query templates and denials prevention 24 Case study...Read More »
Possibly the greatest financial challenge healthcare organizations face day-to-day is the consistent influx of denied claims. According to a recent KFF...Read More »
In the world of CDI, we are no longer just fighting for clarity; we are fighting against an algorithm. As payers increasingly leverage artificial intelligence (AI) and natural language processing to conduct high-volume clinical...Read More »
