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CDI Field Guide to Denials Prevention and Audit Defense

Hospitals want appropriate compensation for their patient care. Yet claims are often denied by private and public healthcare payers alike as a result of complex coding and documentation requirements, coupled with messages lost in translation between providers and coders.

Your CDI program can help defend facility records through its concurrent review practices and prevent denials through targeted appeals. Veteran CDI physician advisor and past ACDIS Advisory Board member Trey La Charité, MD, FACP, SFHM, CCDS, brings his unique perspective to this lively text to outline the current Recovery Auditor landscape and provide tools for readers to take action and prevent denials.

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