Q: According to a denial letter, acute metabolic encephalopathy secondary to any disease (which it obviously always is) codes to G94, other disorders of brain in diseases classified elsewhere. The auditor stated to “Please see code category G93.4 which has an excludes 1 note excluding “...Read More »
Every quarter since January 2014, the American Hospital Association (AHA) has collected and published survey data from its member facilities regarding government audit activities in its RACTrac surveys, reports, and related webinars. Although new Recovery Auditor contracts were awarded in...Read More »
Though I can now follow along with (at least some of) the acronyms related to CDI, I’m still pretty new to the field. Ever since I was eight years old—or so my parents tell me—I wanted to be a writer. So, when I saw the job posting and description for the...Read More »
Q: When looking at denials timelines, what information should be noted?
A: There are many critical time elements to capture during the denial appeals process. It is recommended that you add these to your denials database. If that is not possible, an...Read More »
As part of the seventh annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Nancy Ignatowicz, RN, MBA, CCDS, a remote/traveling CHI nurse with MedPartners, based in Bourbonnais...Read More »
In Part 1 of this series I introduced the developing story of UnitedHealth Group, Inc. vs. the United States of America, and my intent to write a series of articles on this civil fraud action. Why? Because I find this to be an incredibly interesting...Read More »
