Defeating AI-driven clinical validation denials

Today’s guest is Karen Lane, MSN.Ed, RN, CCDS, CCDS-O, CDIP, clinical documentation integrity specialist III at an academic medical center in the Midwest. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today’s show or ideas for a future episode? Contact the ACDIS team at [email protected]. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first four days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/defeating-ai-driven-clinical-validation-denials) Note: To ensure your certificate reaches you and does not get trapped in your organization’s spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today’s episode CEU is Sunday, June 7, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week’s episode. ACDIS update: Respond to the 2026 CDI Week Industry Survey by July 6! (https://www.surveymonkey.com/r/2026-CDI-Week-Industry-Survey) Celebrate Revenue Integrity Week with ACDIS’ sister association, NAHRI, this week! (https://bit.ly/49zndCU) Read all the information and submit your speaker application for the 2027 ACDIS conference, ACDIS Symposium: Outpatient CDI, or Physician Advisor Forum by August 3! (https://bit.ly/4cTyiiU) Read the draft ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice and submit your comments using the link on that page by June 12! (https://bit.ly/4en4de4)