As the role of coded data expands beyond statistical reporting and DRGs to accurate depictions of clinical scenarios, it’s becoming increasingly...Read More »
Appeals cost providers roughly $118 per claim—extrapolated nationwide that amounts to as much as $8.6 billion in administrative costs necessary to...Read More »
Barbara J. Brant, MPA, RN, CDIP, CCDS, CCS; Timothy J. Garrett, MD, MBA, FACEP, FACHE, CHCQM, CIC
This session will provide an internal view of Recovery Audit processes, from the inside perspective of a Recovery Auditor (Cotiviti Healthcare, Region 2 and Region 3). Discussion...
Hear from an Administrative Law Judge (ALJ) and former QIC employee who was integral in developing training materials and presentations for proper adjudication of Medicare appeals, and defended claim denials at the reconsideration and ALJ levels of...
If at all possible, CDI programs should review all hospitalizations in a facility for documentation improvement opportunities. And all charts...Read More »
