Different Sepsis criteria used by different payers

DeannaLaDueDeannaLaDue
in Denials

Hi everyone, I am a CDI Supervisor and we are having some denials due to which sepsis criteria the insurance companies are using. Since some use sepsis 2 and some use sepsis 3 criteria, the question of how to deal with it from a CDI/Coding standpoint has come up.

I'd love to hear how others have been navigating this.

Thanks!

Deanna LaDue RN CCDS

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