CDI Archives

Overcoming Medical Necessity Denials with Clinical Documentation Improvement: A Comprehensive Approach

By YES HIM Consulting | March 9, 2023

clinical documentation improvement medical necessity denials

Medical necessity denials can’t be ignored, as they can lead to significant revenue loss and compliance issues. These best practices for clinical documentation improvement, education, and standardization will help providers overcome their medical necessity denials.

Know Your CDI Data: Statistics and Trends Analysis for Successful CDI Programs

By Amy Davis | December 17, 2018

Identifying trends in MS-DRGs is not enough to validate a CDI program. Key CDI data, gathered and analyzed from principal diagnosis (PDX), complications and comorbidities (CC), major complications and comorbidities (MCC), and ICD-10-PCS code assignments, provide deeper insights and assist in an accurate validation of a CDI program and its impact on the bottom line.