Providers spend more than $20 billion each year overturning denials - much of it tied to documentation gaps, incomplete clinical evidence, or inaccurate coverage information. For CDI and revenue integrity leaders, improving documentation accuracy and ensuring clean claims upstream is one of the...
Kaiser Permanente has reached a settlement agreement with the United States Department of Justice over documentation practices impacting some...Read More »
Today’s guests are Okemena Ewoterai, BSN, MA, CCDS, CDIP, CCS, director of CDI at Montefiore Medical Center in the Bronx, New York, and Trey La Charité, MD, FACP, SFHM,...
As the CDI world has expanded, leaders in the industry have been tasked with increasingly varied responsibilities, often without a network of colleagues to help troubleshoot issues encountered along the way. Thus, they frequently must look beyond their organization to collaborate with peers and...
Healthcare organizations are under more and more pressure from denials, impacting hospitals’ bottom lines and ultimately resources they have available to care for patients. Those in the revenue integrity and clinical documentation integrity (CDI) fields are increasingly being asked to help...
Physician advisors collaborate with a variety of departments, including CDI, quality, utilization review, and revenue integrity, and their reach continues to extend as organizations discover new ways in which they can add value. However, because they have a variety of responsibilities, the...
In 2022, Medicare Advantage (MA) patients only had access to approximately 50% of the physicians available to traditional Medicare patients living...Read More »
As part of the fifteenth annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Kimberly Forslund, RN, CCDS, a CDI specialist at MaineHealth, answered these questions. Forslund is a member...
ACDIS celebrates CDI professionals annually with a full week of recognition for the profession through activities, education, and fun. This year’s CDI Week theme is CDI and the Case of the Missing Documentation, commemorating how all CDI professionals are detectives in the medical field...