Guest post: Querying for clinical validity

February 28, 2017
CDI Blog - Volume 10, Issue 23
ACDIS Guidance, Physician Queries, Denials & Appeals

by Erica E. Remer, MD, FACEP, CCDS

Some clinicians may interpret a query as an affront to their clinical judgment. This is not...Read More »

Guest Post: Clinical validation denial targets

February 22, 2017
CDI Blog - Volume 10, Issue 19
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

by Erica E. Remer, MD, FACEP, CCDS

Auditors target multiple conditions which for clinical validation denials (CVD). Personally, I...Read More »

Guest Post: Protecting documentation from clinical validity denials

February 14, 2017
CDI Blog - Volume 10, Issue 16
ACDIS Guidance, Denials & Appeals, Quality & Regulatory

by Erica E. Remer, MD, FACEP, CCDS

Clinical validation denials (CVD) result from a review by a clinician, such as a registered...Read More »

Guest Post: Tips for new Recovery Audit program denial defense

February 7, 2017
CDI Blog - Volume 10, Issue 14
ACDIS Guidance, CDI Expansion, Denials & Appeals

By Laura Legg, RHIT, CCS, CDIP

...Read More »

Guest Post: Tips for appealing MS-DRG denials

January 3, 2017
CDI Blog - Volume 10, Issue 1
ACDIS Guidance, CDI Expansion, Denials & Appeals

by Sam Antonios, MD, FACP, FHM, CPE, CCDS

Over the last 18–24 months, health- care organizations have seen a surge in MS-DRG...Read More »

Guest Post: Physician practice CDI could start with help from medical assistants

December 13, 2016
CDI Blog - Volume 9, Issue 66
ACDIS Guidance, CDI Expansion, Denials & Appeals

by Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS

The coding function would not exist if there were no physician documentation...Read More »

2016 Conference, Track 3: Completing the Circle: The Importance of CDI Specialist Participation in the Denial Management Process

June 13, 2016
Conference Materials
Denials & Appeals, Quality & Regulatory

Sarah Mendiola, Esq., LPN, CPC

This interactive session is conducted by an associate attorney whose work focuses on appeal of claims that have been denied by CMS contractors. She will discuss best practices for CDI specialist participation in denial management, and present actual...

Conference Update: Medical necessity reviews

April 21, 2016
CDI Blog - Volume 9, Issue 23
Ask ACDIS, CDI Expansion, Denials & Appeals

The ...Read More »

Guest Post: Reduce denials by being proactive with documentation improvement

March 2, 2016
CDI Blog - Volume 9, Issue 15
ACDIS Guidance, CDI Expansion, Denials & Appeals

While many facilities have developed robust denial management teams and have implemented comprehensive procedures for submitting appeals, one of...Read More »

2015 Conference, Track 3:Completing the Circle: The Importance of CDIS Participation in the Denial Management Process

June 2, 2015
Conference Materials
CDI Expansion, Denials & Appeals

Sarah C. Mendiola, Esq., LPN, CPC, presents actual examples of costly denials that could have been prevented with CDIS intervention. These include 2-midnight rule denials, medical necessity for major joint replacement (as outlined by CMS), and justification of MCCs that are difficult to support...

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