Denials & Appeals

Incorrect IRF claims led to $444,458 in overpayments at Memorial University Medical Center, according to a recent OIG...Read More »

Tammy Combs, RN, MSN, CDIP, CCS, CCDS, will present “How to Mitigate and Manage Denials,” on Day 2 of the ACDIS conference. Combs is the director...Read More »

Q: Our facility does not have a standard appeal letter template to respond to...Read More »

As the CDI profession matures, programs are instituting career ladders to create advanced positions for seasoned CDI professionals looking for a...Read More »

“DRG validation can mean many things in many different arenas,” Autumn Reiter, RN, BSN, CCDS, CDIP, CCS, director of CDI staffing...Read More »

Formerly known as Recovery Audit Contractors, the Tax Relief and Health Care Act of 2006 created Recovery Auditors to identify Medicare...Read More »

Q: How does the Supplemental Medical Review Contractor (SMRC) determine which...Read More »

Q: We’ve encountered audit takebacks and denials from a certain payer who...Read More »

Whether it be changing definitions (hello, sepsis-3...Read More »

Q: Should CDI have access to the PEPPER?Read More »