By Jocelyn E. Murray, RN, CCDS What are the similarities and differences between CDI audits and coding compliance audits? Are both...Read More »
The improper payment rate for hospital outpatient services for the 2016 CERT report period was 5.4%, at a projected cost of $3.1 billion, which...Read More »
Part 3 (to read part 1, ...Read More »
No matter how diligent the CDI team, payers will still issue claims denials. Because of this well-known fact, the...Read More »
FEATURES
8 The denials landscape: Physicians’ perspectives
14 CDI specialists see an inside scoop on denials...Read More »
by James S. Kennedy, MD, CCS, CDIP Over the years there’s been a tsunami of denials from payers, Recovery Audit Contractors (RAC),...Read More »
Only 28% of CDI specialists are involved in the denials prevention and appeals process, according to a poll on...Read More »
By Rachel Strom, RN Yes, I’ll admit it, I used to be one of those people, I am a former Medicare Administrative Contractor (MAC)...Read More »
Trey La Charité, MD, FACP, SFHM, CCS, CCDS Appeal writing, like most things in a hospital, is a learned skill. Keeping things...Read More »
By Tamara A. Hicks, RN, BSN, MHA, CCS, CCDS, ACM-RN The old adage, “the best defense is a good offense,” comes to mind when I think...Read More »
