DENIALS & APPEALS

Discussion List

• Templates perhaps for appeal rationale for Sepsis (Sepsis-3) and Severe Malnutrition denials.

  7 views 0 comments 0 points Started by nameher March 25
• Appeal metrics

  58 views 3 comments 0 points Most recent by ptwiss December 2020
• room and board what's included how to stop denials

  147 views 4 comments 0 points Most recent by dsoult September 2020
• Denial prevention committees

  90 views 3 comments 0 points Most recent by stmsmith August 2020
• Cigna Denials per their Reimbursement Policy

  121 views 2 comments 0 points Most recent by mglynn431 April 2020
• UHC denails

  48 views 0 comments 0 points Started by mglynn431 April 2020
• Readmission within 30 days denial

  200 views 1 comment 0 points Most recent by ronaldhirsch November 2019
• readmisson

  62 views 1 comment 0 points Most recent by RHirsch April 2019
• unwarranted denials IP or OP? from Specific payers UHC or Humana

  177 views 2 comments 0 points Most recent by BCSE20 December 2018
• Winning DRG appeal but getting denied for Clinical Validation

  183 views 1 comment 0 points Most recent by RHirsch June 2018
• Physician Advisor Services

  103 views 0 comments 0 points Started by btadwalt March 2018