Denials

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

Discussion	Started By	Replies	Views	Most Recent
facet injection denials	jdunn@vvh.org February 26	0	22	jdunn@vvh.org February 26
1st Morbid Obesity Denial	tracyaboldt@gmail.com December 2019	4	172	nicole.newman February 20
Sepsis-3 denial letter sample	nzd1980 May 2019	5	604	Sally.Hamilton@parknicollet.com January 30
Denials/Appeals team	proddy@clarionhospital.org October 2018	10	656	tjsamson January 30
After a 3rd level appeal	cdrum July 2019	3	200	hali1@nixhealth.com January 23
Encephalopathy Denial	ParkviewCDI December 2019	2	150	kshumpert January 3
Malnutrition Denials	melanie.halpern April 2016	14	1.1K	lberry@wcch.com October 2019
Palliative Care Z515	afenton July 2019	4	181	buchanso@slhs.org October 2019
gram negative pna denial	smarko@cortlandregional.org August 2019	4	139	vparent@emhs.org September 2019
Any pointers on clinical documentation of HCC 59	nzd1980 June 2019	0	146	nzd1980 June 2019
UTI?	bbogda@morrishospital.org March 2019	6	279	vparent@emhs.org June 2019
Sepsis3	BrandeiskyJohn May 2019	1	267	vparent@emhs.org June 2019
New to Denials	BeckyA December 2018	7	530	nzd1980 May 2019
Collaboration	kshumpert April 2019	3	145	nzd1980 May 2019
Morbid Obesity Denials	alee2020 January 2019	9	591	evanspx@sutterhealth.org May 2019
Metabolic acidosis	kwilliams May 2019	2	171	kwilliams May 2019
Continued denial for ABLA- Clinically validated but decision upheld	kgates1 January 2019	4	475	evanspx@sutterhealth.org April 2019
Denial Toxic Encephalopathy due to drugs	justamandakay December 2018	4	625	kshumpert April 2019
Metabolic Acidosis	alee2020 February 2019	2	325	evanspx@sutterhealth.org March 2019
Denial re sepsis without bacteremia	cdrum March 2019	2	235	evanspx@sutterhealth.org March 2019
COPD exac. versus Acute respiratory failure	fblough@umm.edu February 2019	3	555	lprescott1 March 2019
Post denial query?	stephetccs@yahoo.com March 2019	3	221	lprescott1 March 2019
To validate or not to validate?	justamandakay March 2019	3	236	evanspx@sutterhealth.org March 2019
Septic Shock	bbogda@morrishospital.org November 2018	5	477	lberry@wcch.com February 2019
Acute Respiratory Failure	proddy@clarionhospital.org January 2019	1	321	hrodenberg January 2019
Denials demographics	hrodenberg January 2019	0	107	hrodenberg January 2019
UTI Denials based on not enough clinical evidence	bbogda@morrishospital.org November 2018	1	261	lprescott1 November 2018
2019 code guideline BMI /Pregnancy	mlbuntze October 2018	3	2.6K	lprescott1 October 2018
Denials for sepsis	AWARRICK September 2018	1	466	lprescott1 October 2018
Denial due to query examples	justamandakay August 2018	10	841	nayloram September 2018