Denials management is critical for providers facing rising denial rates, especially in medical necessity claims, which can delay cash flow and increase appeal costs.
To maintain financial stability and operational efficiency, healthcare organizations must enhance clinical documentation,...
While physician and nurse burnout dominates healthcare headlines, there's another group of clinicians quietly facing an equally challenging battle: CDI specialists. Their work grows more complex by the day with inefficient chart review processes that don’t allow specialists to review 100% of...
In the United States and worldwide, the advent of artificial intelligence (AI) has prompted a wealth of software applications across various industries. Healthcare and CDI are no exception. Though the AI-centric software solutions available to CDI are by no means well established, they are...
CDI leader’s responsibilities are varied, and new and seasoned leaders alike can feel isolated in their struggles. Rather than braving the path alone, leaders can get a much-needed helping hand by connecting with peers outside their organizations to collaborate, trade advice, and share...
Because record reviews and queries are done by individuals and not on a collective basis, it is easy to forget how much of a team sport CDI really is. Whether it’s interdepartmental collaboration, a quality review with leadership, an educational effort, or a simple one-on-one, the spirit of...
The physician query process seeks to obtain accurate code assignment and ensure that the documentation accurately reflects the patient's clinical condition. It involves a collaborative effort between coding and CDI specialists, and physicians, to gather additional information and clarify details...
Despite significant strides, pediatric CDI still confronts unique hurdles, including systems and technologies originally designed for adult patients and the absence of standardized terminology and clinical indicators specific to children’s illnesses. In response, leaders in the field are...
As CDI has expanded from the inpatient to the outpatient space, questions regarding workflows, solutions, technology, and interdepartmental collaboration have also cropped up. If outpatient expansions are to be successful, these topics and their thornier aspects require further investigation,...
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
CDI is undergoing considerable changes, as seen in the fluidity of job roles, the adoption of remote work models, an uptick in retirements, and a trend of nurses not returning to their pre-pandemic CDI roles. Hospitals are revisiting and revising traditional reporting structures, increasingly...
