Denials & Appeals

Vinita Magoon, DO, JD, MBA, MPH, CMQ, presented a poster at the 2018 ACDIS Conference entitled “Using denial data to improve outpatient...Read More »

Q: What strategies would you recommend for building an effective denials...Read More »

A CERT review showed improper coding and insufficient documentation caused most improper payments for E/M services.Read More »

Cecilia Guardiola, RN, resigned from her position as corporate director of CDI after three months over concerns that Banner Health seemed to be...Read More »

A federal judge asked the AHA for ideas on how the HHS can work through its Medicare billing appeals backlog.Read More »

An OIG audit of the University of Michigan Health System revealed noncompliance...Read More »

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 »

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