Denials

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

Discussion	Started By	Replies	Views	Most Recent
After a 3rd level appeal	cdrum July 2019	3	175	hali1@nixhealth.com January 23
Encephalopathy Denial	ParkviewCDI December 2019	2	109	kshumpert January 3
1st Morbid Obesity Denial	tracyaboldt@gmail.com December 2019	3	93	tracyaboldt@gmail.com December 2019
Malnutrition Denials	melanie.halpern April 2016	14	1.1K	lberry@wcch.com October 2019
Palliative Care Z515	afenton July 2019	4	168	buchanso@slhs.org October 2019
gram negative pna denial	smarko@cortlandregional.org August 2019	4	122	vparent@emhs.org September 2019
Sepsis-3 denial letter sample	nzd1980 May 2019	4	517	nzd1980 July 2019
Any pointers on clinical documentation of HCC 59	nzd1980 June 2019	0	139	nzd1980 June 2019
UTI?	bbogda@morrishospital.org March 2019	6	268	vparent@emhs.org June 2019
Sepsis3	BrandeiskyJohn May 2019	1	253	vparent@emhs.org June 2019
New to Denials	BeckyA December 2018	7	507	nzd1980 May 2019
Collaboration	kshumpert April 2019	3	133	nzd1980 May 2019
Morbid Obesity Denials	alee2020 January 2019	9	542	evanspx@sutterhealth.org May 2019
Metabolic acidosis	kwilliams May 2019	2	157	kwilliams May 2019
Continued denial for ABLA- Clinically validated but decision upheld	kgates1 January 2019	4	450	evanspx@sutterhealth.org April 2019
Denial Toxic Encephalopathy due to drugs	justamandakay December 2018	4	564	kshumpert April 2019
Metabolic Acidosis	alee2020 February 2019	2	300	evanspx@sutterhealth.org March 2019
Denial re sepsis without bacteremia	cdrum March 2019	2	220	evanspx@sutterhealth.org March 2019
COPD exac. versus Acute respiratory failure	fblough@umm.edu February 2019	3	494	lprescott1 March 2019
Post denial query?	stephetccs@yahoo.com March 2019	3	198	lprescott1 March 2019
To validate or not to validate?	justamandakay March 2019	3	227	evanspx@sutterhealth.org March 2019
Septic Shock	bbogda@morrishospital.org November 2018	5	462	lberry@wcch.com February 2019
Denials/Appeals team	proddy@clarionhospital.org October 2018	8	594	psweston January 2019
Acute Respiratory Failure	proddy@clarionhospital.org January 2019	1	301	hrodenberg January 2019
Denials demographics	hrodenberg January 2019	0	103	hrodenberg January 2019
UTI Denials based on not enough clinical evidence	bbogda@morrishospital.org November 2018	1	249	lprescott1 November 2018
2019 code guideline BMI /Pregnancy	mlbuntze October 2018	3	2.4K	lprescott1 October 2018
Denials for sepsis	AWARRICK September 2018	1	448	lprescott1 October 2018
Denial due to query examples	justamandakay August 2018	10	805	nayloram September 2018
Any Vendors for payor Denials	pchakris August 2018	3	230	evanspx@sutterhealth.org August 2018