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 »
by Brian Simpson, MS, RRT, CCDS, CDIP, CCS, CRC Despite not having a formal denials management team at Penn Highlands Healthcare, I...Read More »
by Sydni Johnson, RN, BSN, CCDS, and Denice Piwowar, BSN, RN, CCDS CDI professionals generally consider clinical validation queries...Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS Few things evoke such a visceral response from CDI professionals as the phrase “payer...Read More »
by Anneleah Williams-Bridges, MS, MBCA, RHIA, CCS, CCS-P, CCDS, RH-CBS, LIA Until recently, many organizations have solely used...Read More »
by Linnea Archibald As the CDI profession has matured and expanded over the years, many CDI departments find themselves pulled down...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 »
