The improper payment rate for hospital outpatient services for the 2016 CERT report period was 5.4%, at a projected cost of $3.1 billion, which...Read More »
Part 3 (to read part 1, ...Read More »
No matter how diligent the CDI team, payers will still issue claims denials. Because of this well-known fact, the...Read More »
By Tamara A. Hicks, RN, BSN, MHA, CCS, CCDS, ACM-RN The old adage, “the best defense is a good offense,” comes to mind when I think...Read More »
FEATURES
8 The denials landscape: Physicians’ perspectives
14 CDI specialists see an inside scoop on denials...Read More »
By Rachel Strom, RN Yes, I’ll admit it, I used to be one of those people, I am a former Medicare Administrative Contractor (MAC)...Read More »
Only 28% of CDI specialists are involved in the denials prevention and appeals process, according to a poll on...Read More »
By Janie L. Brown, RN Denied. It’s a word that no one wants to hear in any context. In healthcare, it’s a heavily weighted word. It...Read More »
No matter how thorough the documentation, no matter how precise the coding, denials still haunt the halls of most facilities. While many...Read More »
by Melissa Varnavas
Documentation improvement efforts related to denials management and audit prevention feel a lot like a trip...Read More »
