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Chart Check Up

Chart Check Up

By: Accuity Education Team
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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.

© 2026 Chart Check Up
Economics Hygiene & Healthy Living Management Management & Leadership Physical Illness & Disease
Episodes
  • Navigating Nephrology
    Jan 29 2026

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    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

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    26 mins
  • Underpaid Care, Overdue Revenue
    Nov 17 2025

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    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.


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    22 mins
  • Distinguishing Delirium in the Encephalopathy Enigma
    Oct 19 2025

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    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.


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    16 mins
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