It may seem logical, but clinical judgement—or mistakes thereof—represents a serious concern in relation to malpractice suits according to a CRICO...Read More »
Recently, we’ve seen an uptick in clinical validation denials regarding acute pulmonary insufficiency and acute respiratory failure following...Read More »
Are institutions appealing sepsis denials if the patient meets sepsis-2/super systemic inflammatory response syndrome (SIRS) criteria, but not...Read More »
I was wondering if anyone had experience with denials from commercial payers that goes beyond the third level of appeals. We are getting response...Read More »
