Proper use of suspense, or hold, periods can ensure claims are complete and accurate before they go out the door. But without careful monitoring and limits, these periods can create more problems than they solve. Take a look at the hows and whys of suspense periods to ensure your organization is using them appropriately.
Q: We're looking for ways to bring our CDI and coding teams together to improve documenation and coding for appropriate Hierarchical Condition Categories (HCC) capture. Are there any recommended models and should other departments or individuals be working alongside them?
Hospitals are applying high reliability traits to drive improvement in new departments. Learn how to apply these methods to leverage CDI as a quality improvement function.
Effective management of claim edits and denials is a cornerstone of a sound revenue cycle. See how your organization compares to others and what you can do to improve.
