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Feb. 25, 2025

From the Appeals Desk: Coding Clinics and Sepsis

From the Appeals Desk: Coding Clinics and Sepsis
From the Appeals Desk: Coding Clinics and Sepsis
Healthcare Musings
From the Appeals Desk: Coding Clinics and Sepsis

Many payers state that a 2016 Coding Clinics article allows them to deny sepsis DRGs. This is not true, and Dr. Hassaballa goes into the article and what is specifically says about sepsis. And, he issues an unequivocal condemnation of the murder of Brian Thompson.

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From The Appeals Desk: Coding Clinics and Sepsis

As I do my appeal letter work, I frequently come across a justification for the denial that says something like this: “A payer may use its own criteria to establish a diagnosis.” And the cite an AHA Coding Clinics article from Q4 2016, p. 149. One o…