Diabetes

Blood work for DKA testing

Case Study: Short Stay Common Diabetic Ketoacidosis Denial Overturned

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

Can hospitals receive full inpatient admission reimbursement for a patient experiencing diabetic ketoacidosis who only spends one night in the hospital? AppriseMD’s latest case study shows that it is possible. A young adult patient with type 1 diabetes struggling with consistent vomiting over two weeks stayed one night as a hospital inpatient, but commercial insurance […]

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Diabetic patient testing blood

Case Study: Poorly Controlled Diabetes Inpatient Denial Overturned

Case Study, Denial Management / By

Hospital utilization management requires constant communication between the utilization management team and physician advisors as well as continuously reassessing observation cases for possible conversion to inpatient status. Missing these opportunities leads to increased observation rates and reduced revenue. It can also lead to patients potentially requiring ongoing medical care beyond the observation period. Such patients

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