Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?Read More »
Q: Is it possible for AKI to lead to or be caused by cardiorenal syndrome?Read More »
Q: Can an ICD-10-CM BMI code be used as a standalone code? If not, what documentation should we look for to justify the use of a BMI code?Read More »
Q: How can we develop clear expectations for our denial management program?Read More »
Q: We’re seeing an increase in the volume of medical record requests from external auditors. How can we ensure that the information in the records is accurate, timely, and available to meet auditors’ demands?Read More »
Q: How can we help our physicians improve their documentation of medical necessity?Read More »
Q: What sepsis criteria does CMS prefer people use? Do other insurance plans let you know which sepsis criteria they use to review claims?Read More »
Q: Is it a best practice for a hospital to get a consensus within their own facility to use one sepsis criteria over another?Read More »
