May 2022

Medical chart documentation

Case Study: Hospital Stay Due to Injury and Complex Medical History

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According to the CDC’s National Center for Health Statistics*, there are 130 million visits a year to Emergency Departments, 35 million of which are injury related. Many injury-related ER visits do not result in admission to the hospital, but for those that do, hospital utilization review managers need to provide insurance companies sufficient documentation showing […]

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Case study alcohol withdrawal and AMA departure can still qualify as inpatient stay

Case Study: Alcohol Withdrawal and AMA Departure Can Still Qualify as Inpatient Stay

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Does leaving the hospital against medical advice (AMA) equal an outpatient short stay? Not necessarily. AppriseMD reviewed one inpatient denial case involving a patient who left the hospital AMA after a two-day stay due to severe alcohol withdrawal and seizures. The AppriseMD physician reviewer was able to overturn the denial after a discussion with the

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