Coding versus the true nature of patient’s condition can be enigmatic. In order to parse out the difference between the two, we need to understand the ultimate goal of CDI. It’s not in following the severity of illness (SOI)/risk of mortality (ROM), the...Read More »
It seems that there’s a new headline every day related to denials and audits. Not much has changed when it comes to the content of those denials, though, according to Brett Hoggard, MD, chief medical officer of the Brundage Group, based in Tampa, Florida.Read More »
Deanne Wilk, BSN, RN, CCDS, CCS, CMS, and Melissa Maguire, BSN, RN-BC present “How CDI and Coding Can Travel Together in the Outpatient Realm: Goals and Initiatives,” on Day 1 of the ACDIS Symposium: Outpatient CDI. This year’s Symposium takes...Read More »
Like a well-oiled machine, each component—or revenue cycle department—must function optimally to perform at its peak. Therefore, denial avoidance is a cross-functional, ongoing initiative. The departments with the most involvement are typically patient access, care management, patient financial...Read More »
by James P. Fee, MD, CCS, CCDS, AHIMA-approved ICD-10-CM/PCS trainer
CDI physician advisors use their clinical experience linked to evidence-based medicine and their ability to engage colleagues to mitigate risk, especially where clinical validity is questioned, a situation...Read More »
ACDIS celebrated our eighth annual CDI Week from September 17-21, recognizing professionals across the country for the incredible work that they do. Facilities and local chapters nationwide joined the fun, embracing the theme, “CDI Mosaic: Creating a Collaborative Portrait” fully in posters,...Read More »
Tara Bell, MSN, RN, CCDS, CCM, manager of CDI and utilization review services for UASI based in Cincinnati, will present “Clinical Validation: Expanding Clinical Validation into Outpatient CDI,” on Day 2 of the ACDIS Symposium: Outpatient CDI. Rebecca “Ali” Williams, MSN, RN, CCDS, also...Read More »
Denial management is traditionally focused on improving hospital revenue cycle and financial performance. Appropriate routing and handling of denials from third-party payers improves net revenue and cash flow, and reduces rework.Read More »
