by Malissa Powers | Apr 29, 2019 | Uncategorized
With the shift to value-based care, the difference between coding validation (DRG) and CVDs is no longer distinct. The preponderance of more CVDs in which providers use a combination of clinical and coding references is one major trend that makes it difficult to...
by Denise Wilson | Mar 27, 2019 | Appeal Writing, Appeals, Uncategorized
Facility appeal writers must craft piles of appeals, with virtually no time to investigate the accuracy of payer denials. However, understanding the appeal process is crucial. Engaging a physician advisor can bring the knowledge and experience of a physician to the...
by Denise Wilson | Feb 5, 2019 | Uncategorized
by Denise Wilson MS, RN, RRT, Vice President of Clinical Audit and Appeal Services, Intersect HealthcareReproduced with permission of ICD10 MonitorDenise Wilson MS, RN, RRTVice President of Clinical Audit and Appeal Services, Intersect HealthcareHigher overturn rates...
by Intersect Healthcare | Dec 26, 2018 | Uncategorized
by Dawn Crump, Senior Director, Revenue Cycle and Denial Management Solutions, Intersect Healthcare Reproduced with permission of RCM Answers Dawn Crump Senior Director, Revenue Cycle and Denial Management Solutions, Intersect Healthcare Twitter: @IntersectAppeal Its...
by Denise Wilson | Nov 14, 2018 | Appeals, Insurance Denials, Uncategorized
by Denise Wilson, RN, MS, RRT, Vice President, Clinical Appeal Services, Intersect Healthcare Reproduced with permission of ACPA A large national insurance carrier, offering managed Medicaid plans, recently denied the inclusion of ICD-10-CM codes Z68.41, body mass...
