Denials & Appeals

Attached is the powerpoint presentation Getting Down to the Nitty-Gritty with RAC, QIO, and Other Denials by Margi Brown, RHIA, CCS, CCS-P, CPC, CCDS, Independent Consultant.

Q&A: Avoid “rule out” to ensure medical necessity

February 23, 2011

CDI Blog - Volume 4, Issue 9

Ask ACDIS, Policies & Procedures, Denials & Appeals

Q: I know that in an inpatient setting coders are allowed to use a suspected diagnosis when a definitive diagnosis cannot...Read More »

Prevent RAC denials: Improve excisional debridement documentation

February 1, 2011

CDI Blog - Volume 4, Issue 2

Denials & Appeals, Quality & Regulatory

by Trey La Charité, MD

Every institution reading this column has likely received its first recovery audit contractor (RAC)...Read More »

Guest Post: Reduce RAC Vulnerabilities with a Quality CDI Program

June 24, 2010

CDI Blog - Volume 3, Issue 11

ACDIS Guidance, Quality & Regulatory, Denials & Appeals

DRG (diagnosis-related groups) validation issues have been the main target of RAC (recovery audit coordinators) nationwide in recent months. When...Read More »

Guest Post: The clash of clinical vs. coverage/payment concerns

Guest Post: Examine guidelines for medical necessity documentation needs

Guest Post: WWRD: What would the RAC do?

2011 Conference: Getting Down to the Nitty-Gritty with RAC, QIO, and Other Denials

Q&A: Avoid “rule out” to ensure medical necessity

Prevent RAC denials: Improve excisional debridement documentation

Guest Post: Reduce RAC Vulnerabilities with a Quality CDI Program

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