Sepsis-3 denial letter sample

Hi,

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,

Thanks

Nariman (MD, MPA/HA, CCDS)

Clinical Documentation Auditor

  

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