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Sepsis: Mitigating Denials Amid Definition Disparity

The definition of sepsis is a moving target in healthcare. Every time sepsis criteria shifts, confusion results for physicians, clinical documentation improvement (CDI) specialists and health information management coders…

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A New Line of Defense for Inpatient Claims

Claim rejections and claim denials create considerable financial burden for US hospitals and health systems. Despite new revenue cycle technology, managing these denials remains a costly and time-consuming endeavor…

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Prep for DRG Shifts in ICD-10

Hospitals across the country are preparing for the DRG shifts that will come in consequence of the ICD-10 transition, set for October 1, 2015. DRG shifts occur because ICD-9 and ICD-10 codes often don’t translate…