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Denial Prevention and Impact Analysis: Key Strategies to Implement within your Organization

April 30, 2019
Free Webinars
Management & Leadership, Denials & Appeals, Policies & Procedures

Program Date & Time: Tuesday, April 30th at 1 pm ET

Acute care audits and denials are growing increasingly common and continue to consume coding and CDIS professional’s time in an already resource-limited world.  The definition of clinical validation means that...

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ACDIS update: CDI roles grow in clinical validation, denials prevention, and clinical appeals, research shows

April 25, 2019
CDI Strategies - Volume 13, Issue 17
Management & Leadership, Denials & Appeals

A national survey of 118 CDI leaders,...Read More »

Book excerpt: Retain your queries for appeal readiness

April 19, 2019
CDI Blog - Volume 12, Issue 59
Denials & Appeals, Queries, Quality & Regulatory

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

The question often surfaces regarding what to do with CDI queries once they have been...Read More »

SPONSORED - by 3M

Denials Management: Leveraging CDI Expertise To Protect Revenue

April 17, 2019
Free Reports & Surveys
Denials & Appeals, Management & Leadership, Policies & Procedures

Leadership research survey indicates growing role of CDI professionals in clinical validation, denials prevention, and clinical appeals

A national survey of 118 clinical documentation improvement (CDI) leaders,

...
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News: CMS must assess, strengthen documentation requirements and medical reviews to address $23 billion in improper payments, GAO says

April 11, 2019
CDI Strategies - Volume 13, Issue 15
Denials & Appeals, News, Quality & Regulatory

Insufficient documentation led to approximately $23 billion in improper Medicare payments in FY 2017, the GAO said in a March 27...Read More »

Guest post: Seven strategies to build an effective appeal process

March 26, 2019
CDI Blog - Volume 12, Issue 45
Denials & Appeals, Policies & Procedures, Quality & Regulatory

by Denise Wilson, RN, MS, RRT, and Karla Hiravi, RN, BSN

Facility appeal writers must craft piles of appeals, with virtually no...Read More »

Book excerpt: MACs, MICs, and the OIG—oh my!

March 22, 2019
CDI Blog - Volume 12, Issue 43
ACDIS Update, Denials & Appeals, Quality & Regulatory

By Trey La Charité, MD, FACP, SFHM, CCDS
Over the years, Congress passed numerous pieces of legislation to limit health­care...Read More »

Guest post: Understanding the common denial rationale for AKI and ATN

March 12, 2019
CDI Blog - Volume 12, Issue 37
Clinical & Coding, Denials & Appeals, Quality & Regulatory

by Denise Wilson, RN, MS, RRT, and Karla Hiravi, RN, BSN

Acute kidney injury (AKI) is a sudden and temporary loss of kidney...Read More »

Physician advisor's corner: Clinically validating acute CHF exacerbations

March 1, 2019
CDI Journal - Volume 13, Issue 2
Clinical & Coding, Education, Denials & Appeals

by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Recovery Auditor (RA) denials raise my blood pressure more than anything else (except...Read More »

Book excerpt: Basic appeal construction

February 1, 2019
CDI Blog - Volume 12, Issue 15
ACDIS Update, Denials & Appeals

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

CDI professionals working to help the appeal process need to make sure they have all...Read More »

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