Peer To Peer Reviews for Hospital Cases

Case Study: Post C-section wound infection and asthma exacerbation denial overturned

A recently denied inpatient hospital admission for asthma exacerbation and wound infection was overturned when the insurance company was made aware of additional symptoms that doctors deemed high risk and worthy of a higher level of care. Clinical information sent by the hospital to the insurance company did not show the need for the extra level …

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