Ensuring Medical Necessity for Inpatient Procedures and Mitigating Denials in Healthcare
QUESTION As a manager of a healthcare facility, a physician asks you to research a patient’s insurance. They insist that the patient will need a procedure done in the next couple of months. This will be an inpatient procedure (surgery). You have a pre-operative diagnosis, and this needs to work as the principal diagnosis for the inpatient stay at this time. Initial Post: How does […]
Recent Comments