Earlier this summer, CMS resumed Medicare fee-for-service audits which had been suspended starting the end of March because of the COVID-19 public health emergency (PHE).Read More »
Q: Have any other institutions had frequent clinical validation denials regarding acute pulmonary insufficiency following surgery? If so, what clinical indicators and resources do you use to appeal the denials?Read More »
Q: How do you measure productivity for a denials specialist? Do you measure the number of appeals per day, per week, or per month? Are there any other tasks that affect this metric?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 »
As part of the 10th annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Lori Dellinger, BSN, RN, CCRN-K, CCDS, a CDI specialist at WellSpan Health Summit in Chambersburg, Pennsylvania, a member of...Read More »
Every year, ACDIS celebrates clinical documentation specialists with a full week of activities, education, and fun. This year’s CDI Week theme is ACDIS Cinema—CDI: Coming to an Organization Near You, which aims to bring CDI professionals from behind the scenes and into the limelight,...Read More »
By now most CDI professionals have likely seen the July Office of Inspector General (OIG) audit report, which can be found here. If you haven’t, that...Read More »
