by Jess Fluegel

Not all CDI teams are directly involved in the denials management or appeals process, but every CDI professional knows the value of avoiding a denial in the first place. CDI departments employ many methods, often concurrently, to target different issues related to...Read More »

Between 2015 and 2016, Peoples Health Network received about $3.3 million in overpayments, according to a recent audit conducted by the Office of Inspector General (OIG). The OIG estimated this amount from the diagnosis codes...Read More »

Q: Recently, we had a provider who responded to the multiple-choice query, but they didn’t pick the answer we wanted, even though it met the clinical criteria. I’ve been taught previously that when a physician selects a non-desirable answer, the CDI specialist should close the query...Read More »