2021 Day 1 Track 4: Clinical Validation and the Denial Defense

December 14, 2021
Conference Materials
Denials & Appeals

Clinical Validation and the Denial Defense
Kimberly Huff, BA, COC, CCDS, Clinical Validation Denials Coordinator at Providence Ministry, in northern California
When it comes to denials, unfortunately, the CDI team needs to ensure the...

Journal excerpt: Leveraging templates, building successful appeals

November 23, 2021
CDI Blog - Volume 14, Issue 51
Denials & Appeals

Aside from a defense attorney mindset, there are additional processes that can improve your chances of winning an appeal and successfully...Read More »

News: Coventry Health Care received half a million dollars in overpayment, latest OIG audit finds

November 11, 2021
CDI Strategies - Volume 15, Issue 50
Denials & Appeals, News

In its latest round of Medicare Advantage audits, the...Read More »

​Guest column: Winning the outpatient denials battle

November 1, 2021
CDI Journal - Volume 15, Issue 6
Denials & Appeals, Outpatient CDI, Quality & Regulatory

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.”...Read More »

Submitting suggestions for the IPPS: Simplicity is key

November 1, 2021
CDI Journal - Volume 15, Issue 6
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

by Carolyn Riel
The inpatient prospective payment system (IPPS) was first implemented in 1983 to help combat unnecessary or...Read More »

Case study: A courtroom approach to denials

November 1, 2021
CDI Journal - Volume 15, Issue 6
Denials & Appeals, Quality & Regulatory

by Carolyn Riel
CDI programs can take many approaches to manage denials, whether they focus on physician documentation education,...Read More »

Note from the Associate Editorial Director: Regulatory, denials management fireside reading

November 1, 2021
CDI Journal - Volume 15, Issue 6
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

by Linnea Archibald
​Winter is a time for hunkering down, a time to reflect as the year winds down and prepare as the new one...Read More »

Guest column: Maintaining ethical and compliant practices in quality reviews

November 1, 2021
CDI Journal - Volume 15, Issue 6
Denials & Appeals, Quality & Regulatory

by Deanne Wilk, BSN, RN, CCDS, CDIP, CCDS-O, CCS
Patient safety and quality of care are forerunning concerns for organizations...Read More »

Download the November/December 2021 edition of the CDI Journal!

November 1, 2021
CDI Journal - Volume 15, Issue 6
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

FEATURES
​6 Submitting suggestions for the IPPS
...Read More »

Guest column: Sepsis and ARDS denial prevention

November 1, 2021
CDI Journal - Volume 15, Issue 6
Denials & Appeals, Clinical & Coding

by Alba Kuqi, MD, MSHIM, CDIP, CCS, CCDS, CRCR, CICA, CSMC, RHIA, CCM
Acute respiratory distress syndrome (ARDS) is an acute...Read More »

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