Sepsis-3 denial letter sample


In our facility, I came across some Sepsis denials, mostly as we all know payers are starting to deny based on Sepsis 3 criteria. Most facilities have not adopted that as a practicing procedure. I was wondering if anyone has a good sample of these types of appeals?

I would appreciate your feedback,


Nariman (MD, MPA/HA, CCDS)

Clinical Documentation Auditor



  • Hello,
     Were you able to locate some examples of denial letters for sepsis? We are also looking for samples as our recent denials have been unsuccessful.

    Thank you,
    Danielle Wirth, BSN, RN, CCDS

  • Yes,  you can Email me I will share what I have, not much but hopefully will help.
  • Hello- I tried to email you and it bounced back. Is the email above correct?  I would like to share with you if you are still open to sharing. Thanks, Tracy Boldt
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