Does anyone know which payers, besides Medicare A/B and Medi-Cal, still accept sepsis per ICD-10 guidelines as opposed to SOFA-3? Or does anyone know where I can find this information? Thanks.
Hi Barb, I can tell you that all payors we work with follow Sepsis 3 criteria with traditional Medicare being the exception. I would suggest you speak with the denials team (specifically DRG downgrades) at your facility. They can probably tell you which payers are denying Sepsis without organ dysfunction.
Comments
Does anyone know which payers, besides Medicare A/B and Medi-Cal, still accept sepsis per ICD-10 guidelines as opposed to SOFA-3? Or does anyone know where I can find this information? Thanks.
Hi Barb, I can tell you that all payors we work with follow Sepsis 3 criteria with traditional Medicare being the exception. I would suggest you speak with the denials team (specifically DRG downgrades) at your facility. They can probably tell you which payers are denying Sepsis without organ dysfunction.
Kind Regards,
Jeanne