Why the appeal is won before the claim leaves the building — 4 takeaways

DRG downgrades, clinical validation denials and medical necessity denials — the denials now filling most queues — share a trait: none of them dispute the care delivered. They dispute how the record reads once the case is closed, which means the argument is settled at a moment most organizations do not review. During a featured […] The post Why the appeal is won before the claim leaves the building — 4 takeaways appeared first on Becker's Hospital Review | Healthcare News & Analysi...