As part of the twelfth annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of industry topics. Leyna Belcher, DNP-C, MSN, RN, CCDS, CCDS-O, CDI educator at West Virginia University (WVU) Medicine Enterprise System in Morgantown...Read More »
Alleged fraudulent billing schemes were charged against 36 defendants at an estimated $1.2 billion, according to Medscape Medical News. The fraud was tied to telemedicine, genetic and cardiovascular testing, and equipment,...Read More »
Not all CDI teams are directly involved in the denials management or appeals process, but every CDI professional knows the value of avoiding a denial in the first place. CDI departments employ many methods, often concurrently, to target different issues related to...Read More »
Recently, the Kaiser Family Foundation analyzed transparency data released by CMS on claims denials and appeals data reported in 2020 and released...Read More »
A recent audit conducted by the Office of Inspector General (OIG) projected that hospitals received $47.8 million in net overpayments from January 2018 through July 2019 for Medicare Part A claims that did not meet national...Read More »
ACDIS polls are a great way to get snapshots of data you can leverage to benchmark your own efforts, answer a pressing question, or identify an area of potential expansion or research. In many cases, the polls you see on our website homepage are submitted by...Read More »
The Health and Human Services (HHS) Office of Inspector General (OIG) has announced its plan to audit hospitals for severe malnutrition diagnosis codes on inpatient claims.
