AKI
We are seeing coding denials from Humana for Acute Renal Failure. The rational they are giving is that the diagnosis of Acute Kidney Failure will only be considered after achieving an adequate status of hydration and after excluding urinary obstruction. Also criteria for Acute Kidney Failure will not apply if patient is on diuretic.
On admission the BUN was 78, Cr 4.6, Na 124 This did improve with IV fluid.
Day of D/C Cr 0.8, BUN 12
So I wondering if others are seeing this type of denial and if so what are you doing about it?
Theresa Crosslin RN CM
Cookeville Regional Medical Center
931-783-2078
TCrosslin@crmchealth.org
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On admission the BUN was 78, Cr 4.6, Na 124 This did improve with IV fluid.
Day of D/C Cr 0.8, BUN 12
So I wondering if others are seeing this type of denial and if so what are you doing about it?
Theresa Crosslin RN CM
Cookeville Regional Medical Center
931-783-2078
TCrosslin@crmchealth.org
This email message has been delivered safely and archived online by Mimecast. For more information please visit http://www.mimecast.com