Why Sepsis is the Most Commonly Denied DRG, How to Fight Back and the Role of Physicians in the Process
Sepsis is the most commonly denied DRG for two reasons: how sepsis is defined and how physicians make the case for it in their documentation. Staci Booth and Dr. Maria Johar from Ensemble Health Partners discuss how providers should write their policies around sepsis definitions and how to coordinate with physicians so they provide the information needed to get these claims paid.
This episode is sponsored by Ensemble Health Partners.