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2015 Conference, Track 3:Completing the Circle: The Importance of CDIS Participation in the Denial Management Process

Sarah C. Mendiola, Esq., LPN, CPC, presents actual examples of costly denials that could have been prevented with CDIS intervention. These include 2-midnight rule denials, medical necessity for major joint replacement (as outlined by CMS), and justification of MCCs that are difficult to support clinically while maintaining compliance guidelines,

 

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