Nov. 18, 2024
Great Minds in Medicine: Dr. Vivek Tirmal
Insurance companies will use obscure “Coding Clinics” articles to deny various DRGs. I asked appeal expert Dr. Vivek Tirmal of Sound Advisory Services all about this.
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Related to this Episode
Using the AHA "Coding Clinics" to Deny DRGs
Insurance companies frequently deny medical claims submitted by hospitals. One type of denial payers will use is the "DRG Denial." Here, the insurance company - frequently through a third party service - will go through a chart after the claim h…