Denials & Appeals

This judicial term, the Supreme Court of the United States (SCOTUS) has agreed to hear two joint cases regarding the standard of scienter (“intent...Read More »

ACDIS Associate Editorial Director Linnea Archibald sends out “missed connections” emails with questions from Council members on a regular basis....Read More »

Requiring Medicare Advantage (MA) organizations (MAO) to definitively identify payment denials on encounter records submitted for MA would enhance...Read More »

According to a brief recently...Read More »

More and more studies point to denials as a growing concern for revenue cycle leaders. Yet another report,...Read More »

As rate cuts are expected to affect revenue in 2023, healthcare organizations are about to up their strategies in denials management. Most...Read More »

In a recent report by the OIG, incorrect modifier usage led to an estimated $4....Read More »

by Kim Conner, BSN, RN, CCDS, CCDS-O
A great deal of change has occurred over the past three years in healthcare, and every...Read More »

The Office of Inspector General (OIG) recently released its annual...Read More »