Denials

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

Discussion	Started By	Replies	Views	Most Recent
Escalating to ALJ	mlsswlknsn122@gmail.com February 2021	0	139	mlsswlknsn122@gmail.com February 2021
When did GLIM become accepted criteria to determine Malnutrition	pattyvitasinski@comcast.net November 2020	4	552	pattyvitasinski@comcast.net November 2020
Sepsis	hrboissonneault October 2020	3	500	m1ghtymurs3 October 2020
BMI/Obesity	hrboissonneault October 2020	4	658	hrboissonneault October 2020
Acute Pulmonary Insufficiency Following Surgery (thoracic and non-thoracic)	hrboissonneault May 2020	4	1.5K	jcjohnson@premierhealth.com October 2020
TAVR and acute on chronic heart failure	nicole.newman October 2020	0	491	nicole.newman October 2020
Denial rates...what's average?	hrodenberg May 2020	1	252	jcjohnson@premierhealth.com September 2020
Readmission Denials	christine.butka@hmhn.org June 2020	1	162	jcjohnson@premierhealth.com September 2020
Which payers are still accepting sepsis per ICD-10 guidelines?	barb0210 August 2020	2	166	jcjohnson@premierhealth.com September 2020
Denial for unspecified obesity on obstetric chart	Stacie.coy@maryrutan.org September 2020	0	157	Stacie.coy@maryrutan.org September 2020
EPIC in-basket queries	aedwards@iodinesoftware.com September 2020	5	712	evanspx@sutterhealth.org September 2020
State Finance Department Letter for Sep-2?	m1ghtymurs3 August 2020	0	74	m1ghtymurs3 August 2020
Productivity for Denials Specialists	patricia.fountain@umassmemorial.org June 2020	2	399	patricia.fountain@umassmemorial.org August 2020
Watchman Procedure and Chronic AFib	sarah_wicks@urmc.rochester.edu July 2020	1	558	ebraun July 2020
2019 code guideline BMI /Pregnancy	mlbuntze October 2018	4	4.2K	kruisegirl June 2020
New to Denials	patricia.fountain@umassmemorial.org April 2020	2	198	patricia.fountain@umassmemorial.org May 2020
Sepsis3	BrandeiskyJohn May 2019	2	486	hrboissonneault May 2020
1st Morbid Obesity Denial	tracyaboldt@gmail.com December 2019	5	1.1K	heidi.hillstrom@slhduluth.com April 2020
facet injection denials	jdunn@vvh.org February 2020	0	73	jdunn@vvh.org February 2020
Denials/Appeals team	proddy@clarionhospital.org October 2018	10	1.2K	teresa.firkins@tjsamson.org January 2020
Encephalopathy Denial	ParkviewCDI December 2019	2	463	kshumpert January 2020
Palliative Care Z515	fentona@bronsonhg.org July 2019	4	430	buchanso@slhs.org October 2019
gram negative pna denial	smarko@cortlandregional.org August 2019	4	308	vparent@emhs.org September 2019
Any pointers on clinical documentation of HCC 59	nzd1980 June 2019	0	190	nzd1980 June 2019
UTI?	bbogda@morrishospital.org March 2019	6	744	vparent@emhs.org June 2019
New to Denials	BeckyA December 2018	7	728	nzd1980 May 2019
Collaboration	kshumpert April 2019	3	186	nzd1980 May 2019
Morbid Obesity Denials	alee2020 January 2019	9	2K	evanspx@sutterhealth.org May 2019
Metabolic acidosis	kwilliams May 2019	2	475	kwilliams May 2019
Continued denial for ABLA- Clinically validated but decision upheld	kgates1 January 2019	4	1.5K	evanspx@sutterhealth.org April 2019

Denials

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