Query IQ: “Stop Saying That!”
Best Practices for Querying Elevated Troponins.
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DRG Validation
DRG Validation, Revenue Cycle
Examining Medical Necessity Compliance in Medicare Part A
Learn how PEPPER data highlights medical necessity risks in Medicare Part A and strategies hospitals can use to protect revenue and ensure compliance.
Examining Medical Necessity Compliance in Medicare Part A Read More
DRG Validation
Query IQ: Beware of the Sin of Omission
Avoid denials with compliant, evidence-based queries. Learn from a real sepsis case when clinical indicators don’t support the diagnosis.
Query IQ: Beware of the Sin of Omission Read More
DRG Validation
Query IQ: When Clinical Indicators Don’t Match the Diagnosis
Avoid denials with compliant, evidence-based queries. Learn from a real sepsis case when clinical indicators don’t support the diagnosis.
Query IQ: When Clinical Indicators Don’t Match the Diagnosis Read More
DRG Validation
Query IQ: Copy, Paste, Denied — When Dietician Notes Aren’t Enough
In this edition of Query IQ, we’re tackling the question: Is it enough to carry a dietician’s note into the discharge summary to support coding for severe malnutrition? Spoiler: not usually.
Query IQ: Copy, Paste, Denied — When Dietician Notes Aren’t Enough Read More
DRG Validation
Query IQ: Clarify Without Leading
Learn how to craft compliant, non-leading queries with Brundage Group experts to protect revenue, reduce denials, and ensure accurate documentation.
Query IQ: Clarify Without Leading Read More
DRG Validation
Query IQ: Are Your Query Templates Friend or Foe?
Templated queries aren’t one-size-fits-all. When misused, they can lead to confusion, denials, and compliance risks. Learn how to craft clinically grounded, concise queries that clarify documentation, without leading the diagnosis.
Query IQ: Are Your Query Templates Friend or Foe? Read More
DRG Validation
Query IQ: Clarifying Clinical Indicators
Learn about a real-world denial that highlights what makes clinical indicators and queries defensible—plus tips to make your documentation audit-ready.
Query IQ: Clarifying Clinical Indicators Read More
DRG Validation
Query IQ: The “Other” Denial-When Payers Rewrite the Rules
Discover how payers are misusing query guidelines to justify denials — and how Brundage Group’s new Query IQ series arms hospitals with tools to fight back. Learn to build bulletproof queries and protect revenue with real-world denial defense strategies.
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CDI, DRG Validation
Crucial Role of DRG Validation: A Physician Advisor’s Perspective
Learn why DRG validation is essential for accurate reimbursement, reducing denials, ensuring compliance, and improving patient care from a Physician Advisor’s perspective.
Crucial Role of DRG Validation: A Physician Advisor’s Perspective Read More
CDI, DRG Validation
The Business of Clinical Documentation Integrity
Discover how the evolution of Clinical Documentation Integrity impacts hospital revenue and why robust CDI is essential for maximizing revenue integrity.
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CDI, DRG Validation
How Clinical Documentation Integrity (CDI) Impacts DRG Validation
Learn how CDI plays a crucial role in accurate Diagnosis-Related Group (DRG) validation and hospital reimbursement.
How Clinical Documentation Integrity (CDI) Impacts DRG Validation Read More
DRG Validation
Physician Advisor Turned Certified Coder: Tackling the Challenges of Clinical Documentation
Explore Dr. Hassan Rao’s transformative journey from hospitalist to certified coder, as an Executive Physician Advisor at Brundage Group…
DRG Validation
What is Clinical Validation? Why is it Important?
Clinical validation bridges the gap between documented diagnoses and clinical evidence, ensuring compliance and protecting revenue. Discover why this process is vital for hospital operations and financial health.
What is Clinical Validation? Why is it Important? Read More
DRG Validation
What are Diagnosis Related Groups (DRGs)?
Picture a system that simplifies hospital billing. That’s where Diagnosis Related Groups (DRGs) come into play. They’re classifications utilized by hospitals to bill for each patient’s stay.
What are Diagnosis Related Groups (DRGs)? Read More
CDI, DRG Validation
Tips for Preparing for New Coding Changes for 2023
With the start of fiscal year (FY) 2023 right around the corner, this is a good…
Tips for Preparing for New Coding Changes for 2023 Read More
CDI, DRG Validation
Compliant Retrospective Query Processes
The best practice is to add any retrospective query response as an addendum…
Compliant Retrospective Query Processes Read More
