by Melissa Varnavas
When I was a kid, my siblings would tease me. They’d tell me I was wrong, that I didn’t know what I was talking about. They’d say, “You’re in denial, and it ain’t just a river in Egypt.” Imagine a kid in pigtails sticking out her tongue and wagging her fingers...Read More »
by Linnea Archibald
As the CDI profession has matured and expanded over the years, many CDI departments find themselves pulled down new avenues outside of the traditional chart review process. While not traditionally a role of CDI work, many have begun branching out into denials...Read More »
by Anneleah Williams-Bridges, MS, MBCA, RHIA, CCS, CCS-P, CCDS, RH-CBS, LIA
Until recently, many organizations have solely used their CDI resources to strengthen the capture of CCs/MCCs, Hierarchical Condition Categories, severity of illness/risk of mortality, and DRG validation....Read More »
by Carolyn Riel
Payers deny claims on a wide variety of grounds, but it’s no secret that certain diagnoses seem to be frequent denial targets. Each year, respondents to the...Read More »
by Brian Simpson, MS, RRT, CCDS, CDIP, CCS, CRC
Despite not having a formal denials management team at Penn Highlands Healthcare, I am fortunate enough to assist our coding department when we receive a clinical validation denial. Since I am a respiratory therapist by background,...Read More »
by Howard Rodenberg, MD, MPH, CCDS
I'm writing this a few weeks before Halloween, but I'm already feeling haunted. The spirit in question is the ghost of the ACDIS conference, our annual springtime gathering in the city where everything that happens stays there as long as nobody...Read More »