by Linnea Archibald
One of the biggest components of a CDI leader’s role is to track, trend, and report on the CDI department’s performance. Key performance indicators (KPI) can range in complexity depending on the needs of the organization, but all are imperative for proving the...Read More »
by Leyna Belcher, DNP-C, MSN, RN, CCDS, CCDS-O, and Kenzi Brooks, CCS, CPC-A, COC, CRC, CCDS-O
Fundamentally, what makes outpatient CDI different from inpatient CDI? There are a multitude of similarities between inpatient CDI basics and reviews, but outpatient CDI has many...Read More »
Editor’s note: Please note that ACDIS and AHIMA accepted comments on this paper from December 7 through December 12 for possible incorporation into the final version. The version in the Journal does not include those changes and reflects the paper in its original form....Read More »
by Linnea Archibald
Winter is a time for hunkering down, a time to reflect as the year winds down and prepare as the new one approaches. November and December tend to be filled with a quiet sort of busyness, the kind of busyness that looks like lingering around a holiday dinner...Read More »
by Carolyn Riel
The inpatient prospective payment system (IPPS) was first implemented in 1983 to help combat unnecessary or excessive services being charged when Medicare was reimbursing on a fee-for-service model. Before the IPPS, the International Classification of Diseases (...Read More »
by Leyna Belcher, MSN, RN, CCDS, CCDS-O
According to Margaret Thatcher, “You may have to fight a battle more than once to win it.” In healthcare, the ultimate ongoing battle is fighting denials. These denials have become a battleground as payers lack oversight and are inconsistent...Read More »
by Carolyn Riel
CDI programs can take many approaches to manage denials, whether they focus on physician documentation education, have a team member dedicated to writing appeals, or anything in between. For Kimberly Huff, COC, CCDS, clinical validation denials...Read More »
