Month: April 2022

stethoscope, doctor, health-4280497.jpg

Case Study: Alcohol withdrawal inpatient stay denial overturned based on care required

Alcohol withdrawal and a positive COVID infection resulted in an inpatient hospital stay for one patient; however, the insurance company denied the short stay. A detailed peer-to-peer discussion of this case with the insurance company overturned the denial based on the acute symptoms and the medical and supportive care required. CLINICAL SUMMARY: Alcohol Withdrawal A …

Case Study: Alcohol withdrawal inpatient stay denial overturned based on care required Read More »

Justice Department files antitrust lawsuit against UnitedHealth to stop Change Healthcare acquisition

The United States Department of Justice filed an antitrust lawsuit earlier this year aiming to stop UnitedHealth Group from acquiring Change Healthcare.1 Hospital CFOs and utilization review managers have much to watch in this case related to how it could not only impact competition in the markets but how it could impact the guidelines used …

Justice Department files antitrust lawsuit against UnitedHealth to stop Change Healthcare acquisition Read More »

Scroll to Top