For CDI professionals working on denials management or appeals in any capacity, the payer side of the equation can often seem mystifying. Recently...Read More »
Every year, organizations receive more denials, and payers’ tactics are shifting based on coding rules, clinical criteria, and their own whims....Read More »
According to the 2019 CDI Week Industry Survey, 27.77% of respondents who are currently involved in the denials management/ appeals process work...Read More »
On February 23, 2016, the Journal of the American Medical Association published new clinical definitions for sepsis and septic shock, dubbed “...Read More »
This sample level 2 appeal letter was provided by Jera Van Damme, BSN, RN, CCDS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.
This sample was examined and approved by the Resource Library Committee in 2023. The committee recommends that, if a program...
This sample appeal letter was provided by Jera Van Damme, BSN, RN, CCDS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.
This sample was examined and approved by the Resource Library Committee in 2023. The committee recommends that, if a program uses this...
