Denials & Appeals

by Melissa Varnavas
When I was a kid, my siblings would tease me. They’d tell me I was wrong, that I didn’t know what I was talking...Read More »

​Q: Have any other institutions had frequent clinical validation denials regarding acute pulmonary insufficiency...Read More »

​Earlier this summer, CMS resumed Medicare fee-for-service audits which had been suspended starting the end of March because of...Read More »

​Q: How do you measure productivity for a denials specialist? Do you measure the number of appeals per day, per week, or per...Read More »

Private insurers and employers paid 247% more than what Medicare would have for hospital services in 2018, according to...Read More »

by Howard Rodenberg, MD, MPH, CCDS

Every job is a learning experience, and I learned more than a few things during my tenure as a...Read More »

As part of the 10th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of...Read More »

Every year, ACDIS celebrates clinical documentation specialists with a full week of activities, education, and fun. This year’s CDI Week theme is...Read More »