Even for the most advanced program with excellent provider engagement and education processes, a compliant query process remains central to CDI work. In an effort to streamline the query process and ensure each missive adheres to stringent compliance standards...Read More »
There is a balancing act that must be continually adjusted and fine-tuned when it comes to clinical documentation and even to coding. We don’t want overdocumentation or underdocumentation; we don’t want overcoding or undercoding. Simply...Read More »
Recent shifts in DRG denial volumes have negatively impacted hospital revenue by exponential proportions. In response to advancements in artificial intelligence and other audit technologies that may contribute to the increase, some hospitals are...Read More »
The landscape of healthcare denials has seen many shifts as codes change, best practices evolve, and governmental bodies adopt new standards. Despite the sophistication and persistence of denial volume from payers through these changes, Gregory Simms, BSN...Read More »
CDI programs have traditionally focused on ensuring that provider documentation supports coded diagnoses and reported data. In many healthcare organizations, CDI efforts often center on documentation completeness, provider queries, and alignment
Shannon DiSilvestro, BSN, RN, CCDS, is a clinical coding denials specialist at UChicago Medicine and is part of the Northern Illinois ACDIS (NIACDIS) chapter. She has been working in the field for seven years.
ACDIS: What did you do before entering CDI?...Read More »
9 Fortifying encephalopathy: Strengthen every link on the chain 17 Bridging the clinical/coding gap 24 PSI exclusions and review structure: Advice from the...Read More »
The most well-attended track at the ACDIS conference year-over-year has always been its first, titled “Clinical & Coding.” Most CDI professionals come from a clinical background and have a basic understanding of...Read More »
