Denials

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

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Denial RN
Kerry.Termaat@phci.orgKerry.Termaat@phci.org
2
291
jcjohnson@premierhealth.comjcjohnson@premierhealth.com
Acute Renal Failure Denial
mbushey@tdstelme.netmbushey@tdstelme.net
5
658
evanspx@sutterhealth.orgevanspx@sutterhealth.org
Escalating to ALJ
mlsswlknsn122@gmail.commlsswlknsn122@gmail.com
0
180
mlsswlknsn122@gmail.commlsswlknsn122@gmail.com
When did GLIM become accepted criteria to determine Malnutrition
pattyvitasinski@comcast.netpattyvitasinski@comcast.net
4
623
pattyvitasinski@comcast.netpattyvitasinski@comcast.net
Sepsis
hrboissonneaulthrboissonneault
3
580
m1ghtymurs3m1ghtymurs3
BMI/Obesity
hrboissonneaulthrboissonneault
4
752
hrboissonneaulthrboissonneault
Acute Pulmonary Insufficiency Following Surgery (thoracic and non-thoracic)
hrboissonneaulthrboissonneault
4
1.7K
jcjohnson@premierhealth.comjcjohnson@premierhealth.com
TAVR and acute on chronic heart failure
nicole.newmannicole.newman
0
525
nicole.newmannicole.newman
Denial rates...what's average?
hrodenberghrodenberg
1
280
jcjohnson@premierhealth.comjcjohnson@premierhealth.com
Readmission Denials
christine.butka@hmhn.orgchristine.butka@hmhn.org
1
185
jcjohnson@premierhealth.comjcjohnson@premierhealth.com
Which payers are still accepting sepsis per ICD-10 guidelines?
barb0210barb0210
2
176
jcjohnson@premierhealth.comjcjohnson@premierhealth.com
Denial for unspecified obesity on obstetric chart
Stacie.coy@maryrutan.orgStacie.coy@maryrutan.org
0
175
Stacie.coy@maryrutan.orgStacie.coy@maryrutan.org
EPIC in-basket queries
aedwards@iodinesoftware.comaedwards@iodinesoftware.com
5
787
evanspx@sutterhealth.orgevanspx@sutterhealth.org
State Finance Department Letter for Sep-2?
m1ghtymurs3m1ghtymurs3
0
83
m1ghtymurs3m1ghtymurs3
Productivity for Denials Specialists
patricia.fountain@umassmemorial.orgpatricia.fountain@umassmemorial.org
2
454
patricia.fountain@umassmemorial.orgpatricia.fountain@umassmemorial.org
Watchman Procedure and Chronic AFib
sarah_wicks@urmc.rochester.edusarah_wicks@urmc.rochester.edu
1
621
ebraunebraun
2019 code guideline BMI /Pregnancy
mlbuntzemlbuntze
4
4.4K
kruisegirlkruisegirl
New to Denials
patricia.fountain@umassmemorial.orgpatricia.fountain@umassmemorial.org
2
220
patricia.fountain@umassmemorial.orgpatricia.fountain@umassmemorial.org
Sepsis3
BrandeiskyJohnBrandeiskyJohn
2
514
hrboissonneaulthrboissonneault
1st Morbid Obesity Denial
tracyaboldt@gmail.comtracyaboldt@gmail.com
5
1.2K
heidi.hillstrom@slhduluth.comheidi.hillstrom@slhduluth.com
facet injection denials
jdunn@vvh.orgjdunn@vvh.org
0
81
jdunn@vvh.orgjdunn@vvh.org
Denials/Appeals team
proddy@clarionhospital.orgproddy@clarionhospital.org
10
1.3K
teresa.firkins@tjsamson.orgteresa.firkins@tjsamson.org
Encephalopathy Denial
ParkviewCDIParkviewCDI
2
493
kshumpertkshumpert
Palliative Care Z515
aefent@msn.comaefent@msn.com
4
472
buchanso@slhs.orgbuchanso@slhs.org
gram negative pna denial
smarko@cortlandregional.orgsmarko@cortlandregional.org
4
344
vparent@emhs.orgvparent@emhs.org
Any pointers on clinical documentation of HCC 59
nzd1980nzd1980
0
202
nzd1980nzd1980
UTI?
bbogda@morrishospital.orgbbogda@morrishospital.org
6
842
vparent@emhs.orgvparent@emhs.org
New to Denials
BeckyABeckyA
7
771
nzd1980nzd1980
Collaboration
kshumpertkshumpert
3
205
nzd1980nzd1980
Morbid Obesity Denials
alee2020alee2020
9
2.1K
evanspx@sutterhealth.orgevanspx@sutterhealth.org