Difficult inpatient-stay denials
Patient with a history of asthma and a high BMI was admitted with asthma exacerbation and a wound infection.
A 66 year-old patient undergoing total hip arthroplasty. The patient received an ASA score of 3, having multiple comorbidities including asthma and need for postoperative supplemental oxygen therapy.
Can Peer-to-Peer reviews overturn short hospital stay in-patient denials? We have done a limited study and seen the benefit of P2P reviews at AppriseMD and how it can reverse denials and recoup dollars for hospitals.