Denials

Discuss topics related to denials management, prevention, and appeals.

Discussion List

Discussion
Started By
Replies
Views
Most Recent
How many bites at the apple are audit companies allowed?
Announcement
Shannon.DiSilvestroShannon.DiSilvestro
2
79
Shannon.DiSilvestroShannon.DiSilvestro
Escalation
lmcluckie@wchosp.orglmcluckie@wchosp.org
2
154
cgoeweycgoewey
Denial Related to Principle Diagnosis / Federal Registry
christine.butka@hmhn.orgchristine.butka@hmhn.org
4
522
Shannon.DiSilvestroShannon.DiSilvestro
Who uses Epic as a DRG denials platform?
nicole.newmannicole.newman
1
203
Shannon.DiSilvestroShannon.DiSilvestro
Managing DRG Denials
elaine.koetje@spectrumhealth.orgelaine.koetje@spectrumhealth.org
3
374
Shannon.DiSilvestroShannon.DiSilvestro
Queries in Appeal letters
hrboissonneaulthrboissonneault
7
519
Shannon.DiSilvestroShannon.DiSilvestro
Cotiviti and Cross Claim Review Denials
Shannon.DiSilvestroShannon.DiSilvestro
1
391
Shannon.DiSilvestroShannon.DiSilvestro
Sepsis and Acute respiratory failure - calculated versus ABG P/F ratios
JlwardJlward
2
521
amarin.alexander@fideliscare.orgamarin.alexander@fideliscare.org
Denial for AKI "after optimal hydration"
rmalcolm@cvph.orgrmalcolm@cvph.org
4
1K
cgoeweycgoewey
Acute Blood Loss Anemia
cgoeweycgoewey
3
2.1K
Sarah.priceSarah.price
Malnutrition Denials
melanie.halpernmelanie.halpern
18
2.2K
JlwardJlward
hospital criteria for acute respiratory failure
myu1@valleyhealth.commyu1@valleyhealth.com
1
490
JlwardJlward
Sepsis-3 denial letter sample
nzd1980nzd1980
20
2.3K
seaboldsseabolds
New vs Acute CHF
Dyan_Post_17992Dyan_Post_17992
1
464
annnd2009@gmail.comannnd2009@gmail.com
GLIM criteria as basis for UHC denial for SPCM
cynthia.mead@nahealth.comcynthia.mead@nahealth.com
1
319
heidi.hillstrom@slhduluth.comheidi.hillstrom@slhduluth.com
Productivity Standards for Denials
olga.desiatkin@pvhmc.orgolga.desiatkin@pvhmc.org
2
336
heidi.hillstrom@slhduluth.comheidi.hillstrom@slhduluth.com
Cotiviti Denials for VA patients?
robbimorris@sheridanhospital.orgrobbimorris@sheridanhospital.org
1
232
heidi.hillstrom@slhduluth.comheidi.hillstrom@slhduluth.com
Sepsis 2
SmbeckwithSmbeckwith
1
306
dbutler@vidanthealth.comdbutler@vidanthealth.com
Clinical Validation for Sepsis when payer uses Sepsis-3
free2bkari@yahoo.comfree2bkari@yahoo.com
1
280
terrasproles@hotmail.comterrasproles@hotmail.com
allowable days
aedwards@iodinesoftware.comaedwards@iodinesoftware.com
3
288
olga.desiatkin@pvhmc.orgolga.desiatkin@pvhmc.org
Orientation
kshumpertkshumpert
0
122
kshumpertkshumpert
Patient Status Denials
aedwards@iodinesoftware.comaedwards@iodinesoftware.com
2
341
JMontg01JMontg01
Payer reviews
tracey-htracey-h
0
145
tracey-htracey-h
2021 DRG Denials
jaimeiamjaimeiam
1
457
jcjohnson@premierhealth.comjcjohnson@premierhealth.com
After a 3rd level appeal
cdrumcdrum
5
701
hmhmay@ymail.comhmhmay@ymail.com
Denial after claim, but before audit!
bbogda55@gmail.combbogda55@gmail.com
2
306
kshumpertkshumpert
PSI Events
mcrawformcrawfor
0
458
mcrawformcrawfor
Payers not following coding clinic?
joanozog1@gmail.comjoanozog1@gmail.com
1
1.6K
kshumpertkshumpert
Metabolic Acidosis
alee2020alee2020
5
2.5K
evanspx@sutterhealth.orgevanspx@sutterhealth.org
Short Stay Denials for total knee replacements
lauraehrlich@sunstoneconsulting.comlauraehrlich@sunstoneconsulting.com
1
171
jcjohnson@premierhealth.comjcjohnson@premierhealth.com