Chart Check Up
Leveraging clinical perspectives for the middle revenue cycle – insights that drive impact. Offering support to keep current on clinical knowledge, coding updates, and industry trends.
Episodes
We talk with Accuity's CFO about underpayment, rising AI-driven denials, and how to trace the cash from clinical care to collected dollars. The strategy blends technology with physician review to lower final denials to around one percent and deliver material, auditable ROI for hospitals of any size.
• financial pressure on hospitals and underpayment
• AI-based denials and due process concerns
• p...
We walk through how to distinguish delirium from encephalopathy using DSM-5 criteria, CAM tools, and clear coding pathways, and we show where they overlap and why it matters. We share practical examples, denial risks, and how nurses’ notes fuel better queries and outcomes.
• DSM-5 features and CAM thresholds for delirium
• F-code specificity for intoxication and withdrawal states
• G-code encephalopat...
Dawn Carey, Director of Denials and Appeals at Accuity, joins us to explore the evolving landscape of healthcare claim denials and the tactical responses needed to address them effectively. She reveals how AI, payer tactics, and clinical criteria manipulations are creating unprecedented challenges for healthcare facilities struggling to protect their rightful reimbursements.
• Post-COVID changes in denial pat...
CDI Recruitment & Career Pathways
Laura Deiner – Director for Clinical Documentation Integrity, CommonSpirit
- Gives us her thoughts on:
- Recruitment Focus
- Hiring Process
- Onboarding
- Career Ladder
- Keys for Candidates
- Certification
Jen Davis – Recruiter, Accuity
- Joins us to talk through:
- Ideal Candidate Profile:
- Career Pathway
- Hiring Challenges
- Advancement
- Extra “Green Flags”
Overall Takeaways...
Episode Outline:
• Phoenix Criteria overview
• Challenges identified with Phoenix Criteria as stand-alone Sepsis diagnostic tool
• The payer landscape: Reimbursements & denials
• Considerations for CDI professionals conducting chart reviews
Email info@accuityhealthcare.com with your questions or suggested topics for future episodes.
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