DENIALS & APPEALS

Discussion List

• Humana denials on chemo waste based on vial size

  25 views 2 comments 0 points Most recent by HeatherDubois November 1
• OR Base Rate Charge

  55 views 5 comments 0 points Most recent by catherine-fiala@uiowa.edu October 25
• Medicare and Medicare MA Inpatient denials - Change the patient status from IP to OP or leave?

  30 views 1 comment 0 points Most recent by RHirsch September 16
• Denial prevention committees

  134 views 4 comments 0 points Most recent by virginialbryan@gmail.com April 14
• Templates perhaps for appeal rationale for Sepsis (Sepsis-3) and Severe Malnutrition denials.

  38 views 1 comment 0 points Most recent by virginialbryan@gmail.com April 14
• Appeal metrics

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

  176 views 4 comments 0 points Most recent by dsoult September 2020
• Cigna Denials per their Reimbursement Policy

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

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

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

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

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

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

  109 views 0 comments 0 points Started by btadwalt March 2018