When I became a CDI specialist, I did not foresee myself being someone who would be writing clinical validation appeals. Historically, as a utilization review case manager, I generated medical necessity denials based on my chart review...Read More »
Local chapter leaders have a lot on their plate, and ACDIS is here to help! As you may note in the 2023 ACDIS chapter agreement form, ACDIS offers a list of services to support its chapters and their...Read More »
Presenting your authentic self is a key factor in reaching personal and organizational success. In CDI, we have great opportunities to promote authenticity on our teams. The ability to present your authentic and genuine self has many benefits,...Read More »
Clinical validation denials are those in which a payer denies a claim based on the grounds that the coded diagnosis (or diagnoses) did not meet the clinical criteria for that condition. CDI professionals involved in appealing these denials often complain that...Read More »
Maternal mortality and morbidity are critical issues that continue to affect the healthcare industry worldwide. As a nurse with over 20 years of experience in various healthcare settings, including adults, neonatal, and high-risk...Read More »
In the ever-evolving landscape of healthcare, physician documentation has transcended its traditional role of capturing clinical care and has become a linchpin of the revenue cycle process. As healthcare organizations face increasing pressures to...Read More »
Amanda M. Palacios, MPH, RHIA, is the system HIMS director at Riverside Health System in Newport News, Virginia. She has been in the CDI field for 11 years and is an active member of the ACDIS CDI Leadership Council.
ACDIS: What did you do before entering CDI, and...Read More »
