Month: November 2020

CASE STUDY: Can Peer to Peer Reviews Overturn Short Hospital Stay Inpatient Denials?

Inpatient admissions less than two days in length which have been denied by a commercial carrier are appropriate for Peer to Peer Review, but not all hospitals and doctors have the time or the will to do these reviews. Once we have moved past the extreme situation of the COVID-19 pandemic, hospitals are going to …

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Outpatient Arthroplasty Surgery: A Position Paper from AppriseMD

The American Association of Hip and Knee Surgeons have stated that hip and knee replacements can be safely performed in the outpatient setting in some specific circumstances. However, the wording implies the procedure is most appropriate in an ideal patient when performed in a facility and by a surgical team specifically equipped for this type …

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