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 de...

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...

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 criter...

 CDI Recruitment & Career PathwaysLaura Deiner – Director for Clinical Documentation Integrity, CommonSpiritGives us her thoughts on:Recruitment FocusHiring Process

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 condu...