Denials and appeals

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Discover the benefits of keeping tabs on additions to the Office of Inspector General's (OIG) Work Plan.

Discover how coding education and training improvements can reduce denials, mitigate compliance risks, and more.

Review tips for taking an interdepartmental approach to tracking, managing, and organizing payers' diagnostic criteria.

Analyze new challenges for HIM professionals following the U.S. Supreme Court's decision to overturn the longstanding Chevron Doctrine.

Review strategies, workflow adjustments, and proactive measures by HIM professionals to combat denials.

Explore the key aspects of clinical indicators to ensure your organization is constructing compliant queries.

Analyze how coding impacts preregistration, scheduling, coverage approvals, case management, and other revenue cycle functions.

CMS issued a final rule last month that spells out a new appeals process for patients initially admitted as inpatients but later reassigned to outpatients receiving observation services.

CDI staff must be able familiarize themselves with missing clinical indicators that commonly lead to denials.