Penny Jefferson, MSN, RN, CCDS, CCDS-O, CDIP, CCS, CRC, CHDA, CRCR, and Tami L. McMasters-Gomez, MHL, BS-HIM, CCDS, CDIP
CDI professionals play a critical role in ensuring accurate and complete clinical documentation that is aligned with coding guidelines and payer requirements....
This session will provide a comprehensive look at how the role of a CDI specialist affects far-reaching areas of the denials management landscape, beyond the usual focus area of clinical validation denials. A CDI...
Most CDI programs and professionals focus their provider education efforts on current diagnosis definitions, clinical recognition, and correct documentation terminology. The documentation nuances necessary for the construction of the...
CDI can collaborate with case management/utilization review (UR) teams to better manage medical necessity denials. CDI’s focus is usually on clinical validation, but medical necessity/level-of-care...
This session is designed to empower CDI professionals with the knowledge and strategies necessary to navigate clinical guideline development and provide them with the tools to successfully appeal denials. Through practical case...