Aside from a defense attorney mindset, there are additional processes that can improve your chances of winning an appeal and successfully overturning a denial.
When Kimberly Huff, COC, CCDS, clinical validation denials coordinator at Providence St. Joseph Health,...Read More »
In the past year, the ACDIS Regulatory Committee has been “very active in proposing to CMS certain additions for the 2022 IPPS final rule that [they] felt would improve life for CDI professionals and better reflect the patient’s status,” says Howard Rodenberg, MD, MPH, CCDS, ...Read More »
I've been told that if there are clinical indicators to support that chronic kidney disease (CKD) is the etiology of a patient’s hypertension, a code from category I15 would be assigned. Code I12 is for hypertensive CKD, isn’t it? So why do we have to use I15 codes instead? What’s the main...Read More »
Passion is a funny thing. As passion grows for a particular subject or person, so does the desire to defend it at all costs. I love true crime podcasts and listen to one nearly every day. Inevitably, there are always people that continue to...Read More »
In college, you were supposed to seek out professors who would challenge you to think broadly, to contest accepted ideas and norms, to develop a social conscience, to learn and grow and become a better version of yourself. You...Read More »
Q: Our system is seeing increasing cases being denied inpatient care with the suggestion that the cases should have been billed as observation. Right now, our coding department handles the coding-based denials, CDI handles clinical validation denials, and care management...Read More »
Mid-September found me in Boston for the ACDIS Physician Advisor Exchange. It was a great opportunity to meet folks I had only known from an ACDIS lecture, an article on the ...Read More »
The transition into CDI from other avenues can be filled with overwhelming thoughts and emotions. In my experience as division educator, almost every CDI specialist will, at some point, have doubts about their career change. In the CDI...Read More »
