Now more than a decade removed from CDI programs’ widespread adoption, CDI professionals have an impact on nearly all aspects of healthcare—from reimbursement, to quality reporting, to denials prevention and appeal writing, to patient care. That’s what the 2019 CDI Week theme celebrates—“CDI...Read More »
Every year, organizations receive more denials, and payers’ tactics are shifting based on coding rules, clinical criteria, and their own whims. As a result, many CDI teams find themselves involved with the denials management and appeals process.Read More »
CMS proposes to extrapolate results from Medicare Advantage (MA) audits and apply an overall error rate for all plans, according to an article in FierceHealthcare...Read More »
Providence Health & Services wasn’t the only one under fire from Integra Med Analytics. The firm also filed a suit alleging that Baylor Scott & White, a large Texas-based health system, wrongly billed Medicare for more than $61.8 million over seven years through the practice of upcoding...Read More »
More than half of all respondents to the 2019 CDI Week Industry Survey (56.51%) say they’re currently involved in denials management at their organization. What’s more, more than half of those involved (65.97%) say they...Read More »
As of July 1, HHS has reduced the Medicare appeals backlog at the Administrative Law Judge (ALJ) level by nearly 20%, according to a status report from HHS.Read More »
Citing severe financial difficulties, Hahnemann University Hospital in Philadelphia will close its doors in early September of this year with inpatient admissions ceasing in July, according to a FAQ...Read More »
I recently received an email from ACDIS friend, and Chapter Advisory Board member, Molly Seibert on behalf of her colleague Kelli Newcom regarding whether it’s okay to use a diagnosis noted on a query form for coding purposes if it’s not captured in the...Read More »
