Clinical Validation CDI: The Secret to Fighting Denials

Are you experiencing clinical validation denials? If so, you're not alone. Auditors have shifted their efforts from DRG coding denials to clinical validation denials. And this major swing is causing institutions to adjust their CDI efforts from traditional CDI (having diagnoses suggested by clinical indicators documented) to clinical validation CDI. This new approach validates documented diagnoses which do not seem to be supported by the available clinical indicators. From this crucial webcast, you will understand the current definitions and relevant clinical indicators of the most commonly denied diagnoses. Also learn how to develop valid internal clinical indicators, as well as knowing how to compose clinical validation queries, and how to give tips on fighting clinical validation denials.

Why This is Relevant:

Clinical validation denials are now pervasive. And many of the targeted diagnoses have confusing clinical indicators. That is why concurrent clinical validation CDI is necessary to ensure the integrity of the medical record, while preventing future clinical validation denials. But concurrent clinical validation CDI requires a different approach from traditional CDI. In this webcast, you will learn how to scrutinize diagnoses in light of the clinical indicators present in the medical record. And, you will learn how to perform clinical validation relative to querying and denials management.

Learning Objectives

At the end of this important webcast, you will be empowered to accomplish the following:

• Appraise validity of target diagnoses per the clinical indicators
• Query for clinical validation in a nonthreatening, clear manner
• Develop valid internal clinical guidelines
• Effectively fight denials
• Prevent future denials with education and feedback