Providence Health & Services wasn’t the only one under fire from Integra Med Analytics. The firm also filed a suit alleging that Baylor Scott...Read More »
By Linnea Archibald
More than half of all respondents to the 2019 CDI Week Industry...Read More »
As of July 1, HHS has reduced the Medicare appeals backlog at the Administrative Law Judge (ALJ) level by nearly 20%, according to...Read More »
Q: Which sepsis criteria should we use? It seems like we get denials quoting every criteria set and...Read More »
by Chris Simons, MS, RHIA
Facilities looking to establish or improve their denials management program should consider implementing...Read More »
Citing severe financial difficulties, Hahnemann University Hospital in Philadelphia will close its doors in early September of this year with...Read More »
“Denied.” It’s a word no one wants to hear in response to their healthcare claims. Yet, it’s more frequently on the lips of both governmental and...Read More »
By Melissa Varnavas
I recently received an email from ACDIS friend, and Chapter Advisory Board member, Molly Seibert on behalf of...Read More »
Shirlivia M. Parker, MHA, RHIA, CDIP, Kimberly Huff, BA, CPC-H, CCDS, & Christopher Zepeda, MHA, BS, CPC
Is your CDI team being asked to assist with complex clinical validation denials and you don’t know where to start? This presentation shared how Providence St. Joseph...
Nicole Cuellar, RN, BSN, CCDS
Insurance denials affect every institution, and defending them is likely a familiar subject. However, this can become more complicated in pediatric populations. Auditors often use adult clinical criteria to establish when a diagnosis is invalid....