Alcohol Withdrawal

Doctors work on a patient in the Emergency Department

Case Study: New DRG Key to Overturning MCO Denial

Case Study, Denial Management, Peer-to-Peer / By

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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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

Case Study / By

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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doctor holding stethoscope

Case Study: Alcohol Withdrawal Inpatient Denial Overturned Based on Care Required

Case Study / By

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

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