Denials

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

Discussion	Started By	Replies	Views	Most Recent
After a 3rd level appeal	cdrum July 23	1	121	hali1@nixhealth.com September 18
Palliative Care Z515	afenton July 16	3	98	sarthakthanawala August 30
gram negative pna denial	smarko@cortlandregional.org August 19	3	65	whitneyarellano August 27
Sepsis-3 denial letter sample	nzd1980 May 13	4	417	nzd1980 July 17
Any pointers on clinical documentation of HCC 59	nzd1980 June 18	0	121	nzd1980 June 18
UTI?	bbogda@morrishospital.org March 15	6	246	vparent@emhs.org June 14
Sepsis3	BrandeiskyJohn May 26	1	208	vparent@emhs.org June 14
New to Denials	BeckyA December 2018	7	460	nzd1980 May 16
Collaboration	kshumpert April 23	3	118	nzd1980 May 14
Morbid Obesity Denials	alee2020 January 11	9	461	evanspx@sutterhealth.org May 8
Metabolic acidosis	kwilliams May 2	2	136	kwilliams May 4
Continued denial for ABLA- Clinically validated but decision upheld	kgates1 January 2	4	407	evanspx@sutterhealth.org April 12
Denial Toxic Encephalopathy due to drugs	justamandakay December 2018	4	475	kshumpert April 4
Metabolic Acidosis	alee2020 February 15	2	261	evanspx@sutterhealth.org March 27
Denial re sepsis without bacteremia	cdrum March 12	2	183	evanspx@sutterhealth.org March 25
COPD exac. versus Acute respiratory failure	fblough@umm.edu February 15	3	396	lprescott1 March 22
Post denial query?	stephetccs@yahoo.com March 20	3	163	lprescott1 March 22
To validate or not to validate?	justamandakay March 12	3	208	evanspx@sutterhealth.org March 19
Septic Shock	bbogda@morrishospital.org November 2018	5	435	lberry@wcch.com February 5
Denials/Appeals team	proddy@clarionhospital.org October 2018	8	538	psweston January 30
Acute Respiratory Failure	proddy@clarionhospital.org January 18	1	282	hrodenberg January 29
Denials demographics	hrodenberg January 16	0	92	hrodenberg January 16
UTI Denials based on not enough clinical evidence	bbogda@morrishospital.org November 2018	1	224	lprescott1 November 2018
2019 code guideline BMI /Pregnancy	mlbuntze October 2018	3	2.1K	lprescott1 October 2018
Denials for sepsis	AWARRICK September 2018	1	423	lprescott1 October 2018
Denial due to query examples	justamandakay August 2018	10	752	nayloram September 2018
Any Vendors for payor Denials	pchakris August 2018	3	210	evanspx@sutterhealth.org August 2018
Denial for PDX of sepsis	jennwalts August 2018	4	514	evanspx@sutterhealth.org August 2018
Help needed: recurrent depression HCC 58 is being denied by payers	mevangelder August 2018	5	564	lprescott1 August 2018
Malnutrition Denials	melanie.halpern April 2016	7	806	melanie.halpern April 2016