Remittance processing and appeals are integral parts of the revenue cycle. When facilities submit a claim to Medicare, the hope is that the claim will be paid in full and in a timely manner, but that does not always happen.
Competing perspectives and priorities can lead CDI programs down the wrong path. Understand how differences in professional backgrounds and approaches to documentation can cause conflict in CDI.
Developing an outpatient CDI program isn't just about metrics--departments needs to consider how to engage providers and interact with other teams to be truly effective.
