Denials

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

Discussion	Started By	Replies	Views	Most Recent
allowable days	Angela.Edwards1@hshs.org May 13	1	28	kshumpert May 27
Orientation	kshumpert May 12	0	20	kshumpert May 12
Patient Status Denials	Angela.Edwards1@hshs.org June 2021	2	122	JMontg01 April 8
Sepsis-3 denial letter sample	nzd1980 May 2019	11	1.1K	bhoman April 7
Who uses Epic as a DRG denials platform?	nicole.newman March 7	0	34	nicole.newman March 7
Payer reviews	tracey-h February 16	0	38	tracey-h February 16
Denial Related to Principle Diagnosis / Federal Registry	cbutka@centrastate.com January 23	1	58	littlebit_62703@yahoo.com February 2
2021 DRG Denials	jaimeiam December 2021	1	182	jcjohnson@premierhealth.com December 2021
After a 3rd level appeal	cdrum July 2019	5	377	hmhmay@ymail.com December 2021
Denial after claim, but before audit!	bbogda55@gmail.com July 2021	2	97	kshumpert November 2021
PSI Events	mcrawfor October 2021	0	85	mcrawfor October 2021
Payers not following coding clinic?	jozog@cayugamed.org September 2021	1	305	kshumpert October 2021
Metabolic Acidosis	alee2020 February 2019	5	1K	evanspx@sutterhealth.org June 2021
Short Stay Denials for total knee replacements	lauraehrlich@sunstoneconsulting.com April 2021	1	70	jcjohnson@premierhealth.com May 2021
Denial RN	Kerry.Termaat@phci.org April 2021	2	128	jcjohnson@premierhealth.com April 2021
Malnutrition Denials	melanie.halpern April 2016	17	1.5K	stacy.vincent@enloe.org April 2021
Acute Renal Failure Denial	mbushey@tdstelme.net January 2021	5	334	evanspx@sutterhealth.org April 2021
Queries in Appeal letters	hrboissonneault February 2021	1	140	m1ghtymurs3 February 2021
Escalating to ALJ	mlsswlknsn122@gmail.com February 2021	0	70	mlsswlknsn122@gmail.com February 2021
When did GLIM become accepted criteria to determine Malnutrition	pattyvitasinski@comcast.net November 2020	4	233	pattyvitasinski@comcast.net November 2020
Acute Blood Loss Anemia	cgoewey November 2020	0	208	cgoewey November 2020
Sepsis	hrboissonneault October 2020	3	289	m1ghtymurs3 October 2020
BMI/Obesity	hrboissonneault October 2020	4	279	hrboissonneault October 2020
Acute Pulmonary Insufficiency Following Surgery (thoracic and non-thoracic)	hrboissonneault May 2020	4	615	jcjohnson@premierhealth.com October 2020
TAVR and acute on chronic heart failure	nicole.newman October 2020	0	245	nicole.newman October 2020
Denial rates...what's average?	hrodenberg May 2020	1	173	jcjohnson@premierhealth.com September 2020
Readmission Denials	cbutka@centrastate.com June 2020	1	102	jcjohnson@premierhealth.com September 2020
Which payers are still accepting sepsis per ICD-10 guidelines?	barb0210 August 2020	2	116	jcjohnson@premierhealth.com September 2020
Denial for unspecified obesity on obstetric chart	Stacie.coy@maryrutan.org September 2020	0	97	Stacie.coy@maryrutan.org September 2020
EPIC in-basket queries	Angela.Edwards1@hshs.org September 2020	5	183	evanspx@sutterhealth.org September 2020

Denials

Discussion List