Denials & Appeals

ACDIS members are invited to join the ACDIS Advisory Board today for the Quarterly Membership Conference Call, which will focus on the new...Read More »

Q: What guidance do you have for building a denial management team?

A: As with any team, it is important...Read More »

Clinical validation is definitely a hot topic in CDI right now. According to the 2017 CDI Industry Survey (which will be made available during CDI...Read More »

Those familiar with the CDI Journal, a bimonthly publication, know that each edition focuses on a particular topic related to CDI. Thus...Read More »

The...Read More »

As the role of coded data expands beyond statistical reporting and DRGs to accurate depictions of clinical scenarios, it’s becoming increasingly...Read More »

Where there are documentation holes, denials flood in.

“It’s just amazing how infrequently the doctor is even aware of the denial. If they...Read More »

Appeals cost providers roughly $118 per claim—extrapolated nationwide that amounts to as much as $8.6 billion in administrative costs necessary to...Read More »

By Trey La Charité, MD, FACP, SFHM, CCDS

CDI professionals need to take seriously those fluttering feelings found in the pit of...Read More »