Stay Apprised

AppriseMD logo mark in brand orange.

STAY APPRISED!

Join the ApprisedMD mailing list to receive case studies and papers.

Name(Required)
Email(Required)
Privacy(Required)

AppriseMD Blog

Patient in ER for cellulitis

Case Study: Secondary Review Recommendation Holds in Cellulitis Hospitalization

By AppriseMD | October 27, 2025 | 0 Comments

CLINICAL SUMMARY: A 35-year-old patient arrived in the Emergency Department suffering from a painful abscess and swelling on the left buttock. The patient, whose medical history includes hidradenitis suppurativa, bipolar 1 disorder and asthma, described the pain as an excruciating stabbing sensation rated at a level 10. Furthermore, the patient reported shortness out of breath […]

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

AppriseMD physician advisors provide essential utilization review and denial management education for treating physicians

Case Study: Peer-to-Peer Review of Overlooked Medical Details Can Overturn Denials

By AppriseMD | March 20, 2024 | Comments Off on Case Study: Peer-to-Peer Review of Overlooked Medical Details Can Overturn Denials

CLINICAL SUMMARY: A 22-year-old patient, four weeks postpartum, arrived in the emergency department suffering from abdominal pain and nausea. An ultrasound revealed the common bile duct was dilated to 8 mm, and a CT scan showed gallstones. In addition to steatosis, the patient also had a positive Murphy’s sign. Lab tests performed during the patient’s […]

Scroll to Top