Denials

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

Discussion	Started By	Replies	Views	Most Recent
When did GLIM become accepted criteria to determine Malnutrition	pvitasi2@hfhs.org November 19	4	23	pvitasi2@hfhs.org November 20
Acute Blood Loss Anemia	cgoewey November 16	0	25	cgoewey November 16
Sepsis	hrboissonneault October 9	3	68	m1ghtymurs3 October 30
BMI/Obesity	hrboissonneault October 9	4	73	hrboissonneault October 29
Acute Pulmonary Insufficiency Following Surgery (thoracic and non-thoracic)	hrboissonneault May 21	4	147	jcjohnson@premierhealth.com October 29
TAVR and acute on chronic heart failure	nicole.newman October 23	0	39	nicole.newman October 23
Denial rates...what's average?	hrodenberg May 27	1	93	jcjohnson@premierhealth.com September 29
Readmission Denials	cbutka@centrastate.com June 16	1	46	jcjohnson@premierhealth.com September 29
Which payers are still accepting sepsis per ICD-10 guidelines?	barb0210 August 30	2	51	jcjohnson@premierhealth.com September 29
Denial for unspecified obesity on obstetric chart	Stacie.coy@maryrutan.org September 15	0	28	Stacie.coy@maryrutan.org September 15
EPIC in-basket queries	Angela.Edwards1@hshs.org September 1	5	72	evanspx@sutterhealth.org September 4
State Finance Department Letter for Sep-2?	m1ghtymurs3 August 26	0	28	m1ghtymurs3 August 26
Productivity for Denials Specialists	patricia.fountain@umassmemorial.org June 30	2	104	patricia.fountain@umassmemorial.org August 10
Watchman Procedure and Chronic AFib	sarah_wicks@urmc.rochester.edu July 2	1	74	ebraun July 13
Malnutrition Denials	melanie.halpern April 2016	16	1.3K	cbutka@centrastate.com June 16
2019 code guideline BMI /Pregnancy	mlbuntze October 2018	4	3K	kruisegirl June 6
Sepsis-3 denial letter sample	nzd1980 May 2019	10	791	hrboissonneault May 21
New to Denials	patricia.fountain@umassmemorial.org April 22	2	84	patricia.fountain@umassmemorial.org May 21
Sepsis3	BrandeiskyJohn May 2019	2	327	hrboissonneault May 21
1st Morbid Obesity Denial	tracyaboldt@gmail.com December 2019	5	456	heidi.hillstrom@slhduluth.com April 16
facet injection denials	jdunn@vvh.org February 26	0	30	jdunn@vvh.org February 26
Denials/Appeals team	proddy@clarionhospital.org October 2018	10	760	tjsamson January 30
After a 3rd level appeal	cdrum July 2019	3	230	drhali@live.com January 23
Encephalopathy Denial	ParkviewCDI December 2019	2	230	kshumpert January 3
Palliative Care Z515	afenton July 2019	4	228	buchanso@slhs.org October 2019
gram negative pna denial	smarko@cortlandregional.org August 2019	4	157	vparent@emhs.org September 2019
Any pointers on clinical documentation of HCC 59	nzd1980 June 2019	0	163	nzd1980 June 2019
UTI?	bbogda@morrishospital.org March 2019	6	310	vparent@emhs.org June 2019
New to Denials	BeckyA December 2018	7	566	nzd1980 May 2019
Collaboration	kshumpert April 2019	3	157	nzd1980 May 2019

Denials

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