To be successful CDI programs need to expand across the care continuum into the ambulatory and the post-acute care setting to capture all diseases and conditions that paint the picture of patient care.Read More »
There are many ways to fight a claim denial, but the first step is to decide to appeal. That’s why it’s important to have a dedicated denials management division and a denials management steering committee to provide oversight (as described in...Read More »
Deanne Wilk, RN, BSN, CCDS, CDIP, CCS, will present “How to Handle the Problematic Problem List” on Day 1 of the ACDIS Symposium: Outpatient CDI, which takes place November 14-15 at the Hyatt Regency in Austin, Texas. Wilk is...Read More »
Coding and CDI professionals who skimmed through the fiscal year 2020 IPPS proposed rule may have noticed that quite a few longstanding CCs...Read More »
Richard Pinson, MD, FACP, CCS, will present “A Deep Dive into HCCs” on Day 1 of the ACDIS Symposium: Outpatient CDI, which takes place November 14-15 at the Hyatt Regency in Austin, Texas. Pinson is the principal and medical...Read More »
Hiring CDI specialists is, of course, an integral piece in the puzzle to building a successful pediatric CDI program. Unfortunately, there is a dearth of qualified pediatric CDI specialists in the industry and an institution may need to use a significant amount of resources to train CDI...Read More »
Facilities looking to establish or improve their denials management program should consider implementing a steering committee to set overarching priorities, review data, assess findings, and maintain communication channels between senior executives and...Read More »
Q: I’m doing a pilot program related to missed query opportunities in ED cases and I have a question about congenital conditions in outpatient billing. We recently came across documentation from an ED physician that stated a patient had “incidental congenital...Read More »
