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Defend claims and tighten CDI procedures for auditor targets

Chapter Leader's Guide to Emergency Management, Second Edition

The world of denials prevention and audit defense is filled with a host of watchdog agencies—an alphabet soup of acronyms—to audit claims and take back funds for inappropriate submissions.

The CDI Field Guide to Denial Prevention and Audit Defense is a step-by-step guide to help your CDI program improve its denials prevention efforts and ensure the facility receives the appropriate reimbursement for its patient care.

This resource will help CDI professionals:

Establish effective appeals processes
Identify various audit contractors and their respective scope of work
Explain the importance of CDI and query compliance in denials prevention
Identify potential documentation denial risks associated with electronic health records

Your hospital must work to protect its reimbursement and this resource can do just that!

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MAGNET(TM), MAGNET RECOGNITION PROGRAM(R), and ANCC MAGNET RECOGNITION(R) are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro are neither sponsored nor endorsed by the ANCC. The acronym "MRP" is not a trademark of HCPro or its parent company. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC). HCPro is not affiliated in any way with the Institute for Healthcare Improvement (IHI).