Login
eNewsletter Signup
Store
Contact Us
Go
Toggle navigation
NAHRI Home
Discussions
Categories
Activity
Become A Member
Log In
NAHRI Forums
Forums & Talk Group
DENIALS & APPEALS
Discuss topics such as denials management, appeals strategies, external auditors, and more.
Discussion List
NDC box vs vial
8
views
0
comments
0
points
Started by
Llawther
January 24
Appeal Letter Templates
123
views
7
comments
0
points
Most recent by
slgincconsulting@aol.com
January 12
Utilization Mgmt under Revenue Integrity
27
views
1
comment
0
points
Most recent by
mrborden
January 11
Decision matrix for audit appeals
25
views
1
comment
0
points
Most recent by
Lauraltierney
November 2022
Org chart
37
views
0
comments
0
points
Started by
kshumpert
March 2022
unwarranted denials IP or OP? from Specific payers UHC or Humana
296
views
5
comments
0
points
Most recent by
RHirsch
January 2022
RAC Baseline Additional Documentation Request (ADR) Limits
23
views
0
comments
0
points
Started by
Andrew.Reiten
January 2022
IP LOC and DRG/Coding Clinical Validation on the same encounter
31
views
0
comments
0
points
Started by
christy.basden@iredellhealth.org
January 2022
Humana denials on chemo waste based on vial size
78
views
2
comments
0
points
Most recent by
HeatherDubois
November 2021
OR Base Rate Charge
84
views
5
comments
0
points
Most recent by
catherine-fiala@uiowa.edu
October 2021
Medicare and Medicare MA Inpatient denials - Change the patient status from IP to OP or leave?
74
views
1
comment
0
points
Most recent by
RHirsch
September 2021
Denial prevention committees
168
views
4
comments
0
points
Most recent by
virginialbryan@gmail.com
April 2021
Templates perhaps for appeal rationale for Sepsis (Sepsis-3) and Severe Malnutrition denials.
62
views
1
comment
0
points
Most recent by
virginialbryan@gmail.com
April 2021
Appeal metrics
138
views
3
comments
0
points
Most recent by
ptwiss
December 2020
room and board what's included how to stop denials
255
views
4
comments
0
points
Most recent by
dsoult
September 2020
Cigna Denials per their Reimbursement Policy
510
views
2
comments
0
points
Most recent by
mglynn431
April 2020
UHC denails
90
views
0
comments
0
points
Started by
mglynn431
April 2020
Readmission within 30 days denial
272
views
1
comment
0
points
Most recent by
ronaldhirsch
November 2019
readmisson
87
views
1
comment
0
points
Most recent by
RHirsch
April 2019
Winning DRG appeal but getting denied for Clinical Validation
225
views
1
comment
0
points
Most recent by
RHirsch
June 2018
Physician Advisor Services
118
views
0
comments
0
points
Started by
btadwalt
March 2018