Denial Appeals

Does anyone include physicians in the review of diagnosis denials or seek their input on the appeal letter writing?

Thank you for any input.

Lisa

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Comments

  • Yes, You can, and why not? Let them also know, what CDI, reviewers, and coders are being challenged by external payers, it affects reimbursement and unnecessary delay and correspondence front and back. Furthermore, Physicians are also made aware of when documenting and diagnosing in the future with clinical treatment and resources. Finally, keep in mind it is not about reimbursement alone, more departments review and correct assignments of diagnoses of patients' profiles/bills. its team work.

    Edward

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