Denials & Appeals

Kim Hefelfinger, RN, CCDS, CCM, and Whitney Bardowell, MSN, RN, CCDS

Education is at the heart of all CDI efforts. In this session, attendees will learn strategies and build their educational toolbelt to help them implement CDI educational efforts or expand their current ones....

Penny Jefferson, MSN, RN, CCDS, CCDS-O, CDIP, CCS, CRC, CHDA, CRCR, and Tami L. McMasters-Gomez, MHL, BS-HIM, CCDS, CDIP

CDI professionals play a critical role in ensuring accurate and complete clinical documentation that is aligned with coding guidelines and payer requirements....

Sherian Kelley, RN, CCDS
Teresa Helwig, BSN, RN, CCDS

This session will provide a comprehensive look at how the role of a CDI specialist affects far-reaching areas of the denials management landscape, beyond the usual focus area of clinical validation denials. A CDI...

Trey La Charité, MD, FACP, SFHM, CCS, CCDS

Most CDI programs and professionals focus their provider education efforts on current diagnosis definitions, clinical recognition, and correct documentation terminology. The documentation nuances necessary for the construction of the...

Sharme Brodie, RN, CCDS, CCDS-O, CRC
Teri Rice, RN, MSN, MBA, MHA, CHC

CDI can collaborate with case management/utilization review (UR) teams to better manage medical necessity denials. CDI’s focus is usually on clinical validation, but medical necessity/level-of-care...

Karen Elmore, BSN, RN, CCDS
Nancy Williams, MD

This session is designed to empower CDI professionals with the knowledge and strategies necessary to navigate clinical guideline development and provide them with the tools to successfully appeal denials. Through practical case...