Denials

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

Discussion	Started By	Replies	Views	Most Recent
2021 DRG Denials	jaimeiam December 2021	1	479	jcjohnson@premierhealth.com December 2021
After a 3rd level appeal	cdrum July 2019	5	868	hmhmay@ymail.com December 2021
Denial after claim, but before audit!	bbogda55@gmail.com July 2021	2	334	kshumpert November 2021
PSI Events	mcrawfor October 2021	0	522	mcrawfor October 2021
Payers not following coding clinic?	joanozog1@gmail.com September 2021	1	1.8K	kshumpert October 2021
Metabolic Acidosis	alee2020 February 2019	5	2.6K	evanspx@sutterhealth.org June 2021
Short Stay Denials for total knee replacements	lauraehrlich@sunstoneconsulting.com April 2021	1	194	jcjohnson@premierhealth.com May 2021
Denial RN	Kerry.Termaat@phci.org April 2021	2	300	jcjohnson@premierhealth.com April 2021
Acute Renal Failure Denial	mbushey@tdstelme.net January 2021	5	693	evanspx@sutterhealth.org April 2021
Escalating to ALJ	mlsswlknsn122@gmail.com February 2021	0	190	mlsswlknsn122@gmail.com February 2021
When did GLIM become accepted criteria to determine Malnutrition	pattyvitasinski@comcast.net November 2020	4	671	pattyvitasinski@comcast.net November 2020
Sepsis	hrboissonneault October 2020	3	604	m1ghtymurs3 October 2020
BMI/Obesity	hrboissonneault October 2020	4	781	hrboissonneault October 2020
Acute Pulmonary Insufficiency Following Surgery (thoracic and non-thoracic)	hrboissonneault May 2020	4	1.8K	jcjohnson@premierhealth.com October 2020
TAVR and acute on chronic heart failure	nicole.newman October 2020	0	549	nicole.newman October 2020
Denial rates...what's average?	hrodenberg May 2020	1	298	jcjohnson@premierhealth.com September 2020
Readmission Denials	christine.butka@hmhn.org June 2020	1	198	jcjohnson@premierhealth.com September 2020
Which payers are still accepting sepsis per ICD-10 guidelines?	barb0210 August 2020	2	188	jcjohnson@premierhealth.com September 2020
Denial for unspecified obesity on obstetric chart	Stacie.coy@maryrutan.org September 2020	0	199	Stacie.coy@maryrutan.org September 2020
EPIC in-basket queries	aedwards@iodinesoftware.com September 2020	5	835	evanspx@sutterhealth.org September 2020
State Finance Department Letter for Sep-2?	m1ghtymurs3 August 2020	0	87	m1ghtymurs3 August 2020
Productivity for Denials Specialists	patricia.fountain@umassmemorial.org June 2020	2	488	patricia.fountain@umassmemorial.org August 2020
Watchman Procedure and Chronic AFib	sarah_wicks@urmc.rochester.edu July 2020	1	667	ebraun July 2020
2019 code guideline BMI /Pregnancy	mlbuntze October 2018	4	4.5K	kruisegirl June 2020
New to Denials	patricia.fountain@umassmemorial.org April 2020	2	226	patricia.fountain@umassmemorial.org May 2020
Sepsis3	BrandeiskyJohn May 2019	2	539	hrboissonneault May 2020
1st Morbid Obesity Denial	tracyaboldt@gmail.com December 2019	5	1.2K	heidi.hillstrom@slhduluth.com April 2020
facet injection denials	jdunn@vvh.org February 2020	0	91	jdunn@vvh.org February 2020
Denials/Appeals team	proddy@clarionhospital.org October 2018	10	1.4K	teresa.firkins@tjsamson.org January 2020
Encephalopathy Denial	ParkviewCDI December 2019	2	518	kshumpert January 2020

Denials

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