The full agenda is now available for the 2024 Revenue Integrity Symposium (RIS), held by the National Association of Healthcare Revenue Integrity (NAHRI)! This year, their third track has been dedicated fully to denials...Read More »
Q: According to one of our private carriers, we should report bilateral services with modifier -50 (bilateral procedure) for physician claims in one of the following ways:
Report modifier -50 on two service lines with 1 unit each
FEATURES 6 A rose by any other name: Denials in unconventional settings 24 Case study: Addressing the collective problem of denials 29 Case study: Establishing...Read More »
Over the years, CDI has increasingly found themselves in the trenches of denials management. According to the 2023 CDI Week Industry Survey, just under 59% of respondents are currently involved in the denials management or appeals process at their organization...Read More »
“Would a rose by any other name smell as sweet?” Shakespeare asks us. Likewise, are denials so different across organizations and settings? At first glance, it might seem so. As the CDI profession expands, it develops more niches and areas of special expertise,...Read More »
As the denials and appeals team lead and coding doc-analyst at Parkview Health, I am very involved in our denials team and its processes. Health organizations have seen a steady increase in denials, and Parkview is no exception. We’ve seen an average of...Read More »
Most facilities find acute respiratory failure to be a commonly denied diagnosis, but this problem is not entirely without solution. For acute respiratory failure, the circumstances of the admission and the focus of care will determine the...Read More »