Denials & Appeals

Only 28% of CDI specialists are involved in the denials prevention and appeals process, according to a poll on...Read More »

Because of payers’ propensity for denials, facilities need to have a process in place for managing denials’ root causes on the front end and...Read More »

by James S. Kennedy, MD, CCS, CDIP
Over the years there’s been a tsunami of denials from payers, Recovery Audit Contractors (RAC),...Read More »

Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Appeal writing, like most things in a hospital, is a learned skill. Keeping things...Read More »

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

Before the first word of an appeal is ever written, review the denial chart thoroughly...Read More »

By Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS

The 2017 Official Guidelines for Coding and Reporting,...Read More »

Medicare Administrative Contactors (MAC) have new revised audit targets, according to a...Read More »

According to an ACDIS poll, 71% of respondents conduct clinical validation reviews. Listen to the Quarterly Membership Call to learn more about...Read More »

ACDIS members are invited to join the ACDIS Advisory Board today for the Quarterly Membership Conference Call, which will focus on the new...Read More »

Q: What guidance do you have for building a denial management team?

A: As with any team, it is important...Read More »