Denials & Appeals

by Carolyn Riel
According to the...Read More »

​Q: Our system is seeing increasing cases being denied inpatient care with the suggestion that the cases should have been billed...Read More »

In July 2020, the Office of Inspector General (OIG) under the Department of Health and Human Services released a...Read More »

Do you appeal many 30-day readmission denials and what is your approach?Read More »

Private healthcare insurers who administer Medicare Advantage plans will have to repay overpayments they receive in spite of incorrect diagnoses,...Read More »

Following a report from the...Read More »

The United States ...Read More »

During fiscal year 2020, the federal government won or negotiated more than $1.8 billion in healthcare fraud judgements and settlements, according...Read More »

A Medicare hospital provider compliance audit performed by the Office of Inspector...Read More »

by Shirlivia M. Parker, MHA, RHIA, CDIP, BS-HIM

There have been a multitude of discussions in the CDI profession about...Read More »