Take back on a CC
I just received a letter from an insurance company who wants to take off a cc we submitted for Morbid obesity. The case was a CHF and Morbid obesity case DRG 292 but they want to change it to DRG 293 w/o cc. The patient had a documented BMI (42.20) and their letter states " the documentation on file does not show significant additional resources were used for or the length of stay was increased by BMI, therefore no additional payment will be made". Is there specific documentation we are required to support Morbid obesity other than the documentation of Morbid obesity and a BMI > 40.0? Is any one else seeing this in their denials? Any ideas or help appreciated. Thank you!