Due to provider pushback, UnitedHealthcare announced that they will delay the policy which would allow them to deny ED claims determined nonemergent...Read More »
In this article, Elizabeth Morgenroth, RHIA, CPC, Curation Health’s director of outpatient CDI, examines why providers need to demonstrate a sense of urgency when it comes to creating an outpatient CDI program and the three key steps to get started. Read More »
CDI programs launching in the home health space need to understand the communication dynamics at play within this setting and how separate departments with separate reporting structures can still work together. A hospital CDI program often has physicians and other departments all under one roof...Read More »
Telehealth accounted for 24% of outpatient consultations among privately insured, working-age adults during the first four months of the COVID-19 pandemic, up from 0.3% for the same period in 2019,...Read More »
by Leyna Belcher, MSN, RN, CCDS, CCDS-O
According to Margaret Thatcher, “You may have to fight a battle more than once to win it.” In healthcare, the ultimate ongoing battle is fighting denials. These denials have become a battleground as payers lack oversight and are inconsistent...Read More »
by Carolyn Riel
It’s always been easy to show financial return on investment for inpatient CDI endeavors, but the monetary value of outpatient programs is increasing dramatically year after year, making outpatient CDI reviews more attractive to many healthcare organizations....Read More »
A report from the Deloitte Center for Health Solutions found that hospital outpatient revenue is beginning to rival inpatient revenue. The report looked at financial data from...Read More »