Denials & Appeals

by Kathy Shumpert, MSN, RN, CCDS
I started my CDI career in 2008. As every new CDI professional knows, the first year is...Read More »

A recent audit by the Office of Inspector General (OIG) found that changes to CMS' system has significantly reduced Medicare overpayments to acute...Read More »

The Office of Inspector General (OIG) is calling for Humana Inc. to refund $34....Read More »

Q: Does your facility currently abide by any policies when it comes to coding ‘obesity’ and/or ‘morbid obesity’ in terms of...Read More »

As part of the twelfth annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of...Read More »

As part of the twelfth annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of...Read More »

Alleged fraudulent billing schemes were charged against 36 defendants at an estimated $1.2 billion, according to...Read More »

by Jess Fluegel

Not all CDI teams are directly involved in the denials management or appeals process, but every CDI professional...Read More »

Recently, the Kaiser Family Foundation analyzed transparency data released by CMS on claims denials and appeals...Read More »