Moving from Denial Management to Denial Avoidance – The Role of CDI

 

Medical-necessity denials are increasing at an alarming rate—and a majority of them are unnecessary, avoidable, and self-inflicted. Inarguably, the root cause of these denials is “insufficient documentation,” which creates an ongoing cascade of time-consuming, costly, and repetitive appeals processes.

In this webinar, ZirMed’s Glenn Krauss will help attendees deepen their understanding of CDI’s role in the revenue cycle and learn practical strategies to immediately apply these insights into their daily work as CDI and revenue-cycle professionals.

Objectives:

  • Understand and appreciate current Clinical Documentation Improvement (CDI) operational processes how they contribute to unnecessary, avoidable denials.
  • Define and detail best practice standards of physician documentation required to effectively communicate patient care in support of medical necessity.
  • Learn how to assess your current CDI initiatives utilizing the theory of constraints; begin the journey of embarking upon the “4Rs” in support of incorporating denials avoidance into your CDI program.
  • Learn how to engage physicians in the effort to drive true documentation improvement as an integral part of the practice of medicine—while also enhancing net-patient-revenue integrity.

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