Examining readmission and mortality changes from 2010 to 2016, MedPAC found the HRRP contributed to a significant decline in readmission rates...Read More »
The volume of denials due to lack of medical necessity for outpatient services is increasing. As a result, providers must ensure that they develop processes around improving documentation to justify services in all areas of care provided....
by Cherri Sanders, RHIT, and Heather Marie Smith, CCS-P
Our facility serves a large Medicare population, making it vulnerable to Medicare’s LCD/NCDs, and it experienced thousands of dollars in denials annually without fully understanding what was being denied and why. Everything...
by Tracy Boldt, RN, BSN, CCDS, CDIP, and Robert Erickson, MD, CCDS
Essentia Health System is a member of an accountable care organization with over 75,000 members, and its outpatient CDI program touches over 60 clinics systemwide. This presentation provides attendees with tools...
by Sara Atwater, MD, MPH, and David Reece, BSN, RN, CCDS
Outpatient CDI has blurred definitions, few established guidelines/metrics, limited software, and a mostly “home-grown” group of relatives. This session provides insight from an established outpatient CDI program on...