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AppriseMD Blog

Recouping revenue lost to COVID

Utilization Review Management Can Help Hospitals with COVID Revenue Loss

By Monika Mlynarski, MD | March 15, 2021 | Comments Off on Utilization Review Management Can Help Hospitals with COVID Revenue Loss

COVID-19 continues to have detrimental effects not only on health of people, but also on the economy and businesses in general. Included in these businesses are hospitals which have been expected to be fully supplied, staffed and ready to provide cutting edge care throughout the pandemic.  According to a new report released in February from […]

White Papers

IPO List Compliance a whte paper from AppriseMD

The financial impact of the IPO list magnified with the rise of CMS-4201-F, giving rise to inpatient reimbursement for all MAO patients who require services designated on the IPO list. Hospitals need to ensure that the proper setting is scheduled when any Medicare or MA patient undergoes a procedure designated on the IPO list, and they should also follow any proposed additions and removals to the list closely to ensure appropriate treatment and reimbursement.

Case Studies

Doctors work on a patient in the Emergency Department

Case Study: New DRG Key to Overturning MCO Denial

By AppriseMD | September 25, 2025 | Comments Off on Case Study: New DRG Key to Overturning MCO Denial

CLINICAL SUMMARY: A 34-year-old patient arrived in the emergency department (ED) experiencing complications from alcohol withdrawal, which began while staying at a sober living home. He began experiencing lightheadedness, nausea, vomiting and epigastric pain in addition to developing a bilateral rash to his upper extremities and was transported to the ED. The patient reported drinking […]

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