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 »
Does anyone review inpatient psyche as part of their workflow? We are being asked to explore this and have done a small sample of reviews. We are...Read More »
I have a patient admitted with COVID-19 pneumonia and acute on chronic respiratory failure with hypoxia. The patient denied any chest pain....Read More »
What are your thoughts on mentoring or allowing outside individuals to job shadow CDI staff at your facility? We were recently approached by a...Read More »
I recently had a case where the documented diagnoses were “paraneoplastic syndrome and possible encephalitis with references to both limbic...Read More »
Have you seen reluctance in physicians wanting to respond to queries related to outcome measures? Certain practitioners seem to avoid mentioning...Read More »
