Status Integrity Starts at the Front Door: What CDI and UR Teams Need to Know
Clinical Documentation

Status Integrity Starts at the Front Door: What CDI and UR Teams Need to Know

Hospitals have spent years responding to medical necessity denials after the claim has already been submitted. Appeals are written, peer-to-peers are completed, payer trends are discussed, and denial dashboards are reviewed. But the next level of denial prevention will not be won only in the appeal process. It will be

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Part 1: The Game Has Changed
Auditing

Part 1: The Game Has Changed

EDITOR’S NOTE: Senior healthcare analyst Frank Cohen begins a three-part series about auditing in the algorithmic environment. Something has changed in healthcare compliance, and if

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