Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials...Read More »
According to a 2017 poll on the ACDIS website...Read More »
by Lynette Kramer, MA, RHIA
A contemporary denial avoidance and management program should be a cross-functional, ongoing...Read More »
Q: How can we develop clear expectations for our denial management program?Read More »
Q: What sepsis criteria does CMS prefer people use? Do other insurance plans let you know which...Read More »
UnitedHealthcare announced recently that, starting January 1, 2019, they will use sepsis-3 criteria for validating sepsis claims.Read More »
It seems that there’s a new headline every day related to denials and audits. Not much has changed when it comes to the content of those...Read More »
Q: Is it a best practice for a hospital to get a consensus within their own facility to use one...Read More »
Like a well-oiled machine, each component—or revenue cycle department—must function optimally to perform at its peak. Therefore, denial avoidance...Read More »
by James P. Fee, MD, CCS, CCDS, AHIMA-approved ICD-10-CM/PCS trainer
CDI physician advisors use their clinical experience linked...Read More »
