This session will provide a comprehensive look at how the role of a CDI specialist affects far-reaching areas of the denials management landscape, beyond the usual focus area of clinical validation denials. A CDI...
Most CDI programs and professionals focus their provider education efforts on current diagnosis definitions, clinical recognition, and correct documentation terminology. The documentation nuances necessary for the construction of the...
CDI can collaborate with case management/utilization review (UR) teams to better manage medical necessity denials. CDI’s focus is usually on clinical validation, but medical necessity/level-of-care...
This session is designed to empower CDI professionals with the knowledge and strategies necessary to navigate clinical guideline development and provide them with the tools to successfully appeal denials. Through practical case...
Today’s guest is Karen Elmore, RN, BSN, CCDS, the education program manager for physicians and CDI at BJC HealthCare in St. Louis, Missouri. Today’s show is part of the “...
A Connecticut psychologist, Michael Lonski, Ph.D., has been sentenced to 27 months in federal prison for committing a healthcare fraud scheme,...Read More »
ACDIS survey reveals the strategic advancement and evolving role of the physician advisor
Physician advisors continue to establish themselves as key players within healthcare organizations. As healthcare grows more complex, the physician advisor’s
In fiscal year (FY) 2024, United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) audits and investigations...Read More »
