Chart Check Up

Accuity Education Team
  • 5.0 (6)
  • MEDICINE

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

  1. JAN 29

    Navigating Nephrology

    Send us a text We explore how nephrology documentation can be both clinically faithful and coder-ready, focusing on AKI vs ATN, linking diagnoses to causes, and reducing avoidable queries. We share practical tactics, from lab trend interpretation to medication reviews, and reflect on AI’s place alongside physician judgment. • AKI and ATN terminology • Linking diagnoses to clear etiologies • Education tactics that make codable language second nature • Respecting clinical judgment when criteria feel incomplete • Lab and urine trends that signal early kidney injury • Medication-induced nephrotoxicity as a reversible cause • ICU triggers, systemic diseases, and combo codes • Templates, AI assistance, and human oversight

    26 min

  2. 11/17/2025

    Underpaid Care, Overdue Revenue

    Send us a text 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 • pairing technology with physician-led clinical validation • focusing on complex cases, CMI, and surgical mix • material impact at single-site and academic centers • traceable ROI with 98–99% expected collections • aligning DNFB speed with net cash outcomes • breaking silos with shared scorecards and goals At Accuity, we're transforming healthcare reimbursement with a provider-driven, innovative approach. We share valuable clinical coding insights and current best practices to improve financial outcomes across health systems. If you have any questions or would like to offer a topic to discuss, please email info@accuityhealthcare.com.

    22 min

  3. 10/19/2025

    Distinguishing Delirium in the Encephalopathy Enigma

    Send us a text 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 encephalopathy and system-specific hepatic coding • Overlap of causes and resolution with treatment • Differentiating waxing and waning vs acute course • CC/MCC, PSI 11 and denial risk • Using nurses’ notes to build strong queries • Key resources for fast, reliable criteria checks At Accuity, we're transforming healthcare reimbursement with a provider-driven, innovative approach. If you have any questions or would like to offer a topic to discuss, please email info@accuityhealthcare.com.

    16 min

  4. 09/15/2025

    Hidden Tactics of Healthcare Denials

    Send us a text 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 patterns with auditors using AI to process unprecedented volumes of claims • Distinguishing between AI-generated and human-reviewed denials is increasingly difficult • Prepay denials force hospitals to adjust claims before payment, effectively holding revenue hostage • Payers create their own clinical criteria for denials, often cherry-picking from established guidelines • Hospitals must break down departmental silos between contracting, revenue cycle, and CDI teams • Limiting the number of records payers can review through contracts is an effective mitigation strategy • Regular meetings with payers, tracking strong cases, and leveraging peer-to-peer reviews help overturn denials • Accuity's AI solutions include Amplify for chart review and new AI applications for denial management • Interdepartmental collaboration is crucial for addressing increasingly sophisticated denial tactics • Facilities using Accuity's integrated physician-coder model experience denial rates under 0.5 percent

    17 min

  5. 08/14/2025

    Breaking into CDI: Navigating role transition from clinical care to documentation clarity

    Send us a text  CDI Recruitment & Career Pathways Laura Deiner – Director for Clinical Documentation Integrity, CommonSpirit Gives us her thoughts on:Recruitment FocusHiring ProcessOnboardingCareer LadderKeys for CandidatesCertificationJen Davis – Recruiter, Accuity Joins us to talk through:Ideal Candidate Profile:Career PathwayHiring ChallengesAdvancementExtra “Green Flags” Overall Takeaways: CDI careers demand a unique blend of bedside clinical expertise, coding skills, and analytical ability.Employers value adaptability, communication, and willingness to learn over prior CDI experience.Remote work expands candidate pools but intensifies competition.Certifications boost credibility but are often gained after entering the field.

    36 min

  6. 06/11/2025

    Confronting the Phoenix Criteria

    Send us a text 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.

    30 min
  • 6 Episodes

Ratings & Reviews

5
out of 5
6 Ratings

About

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.

Information

  • Creator
    Accuity Education Team
  • Years Active
    2025 - 2026
  • Episodes
    6
  • Rating
    Clean
  • Copyright
    © 2026 Chart Check Up
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