Malnutrition Denials/Downgrades

Malnutrition denials/downgrades are dramatically up since 2018

Here’s What to Do

Since 2018, we have been hearing from Revenue Cycle leaders all about their frustration over Malnutrition, Sepsis, and Obesity Denials/DRG Downgrades. From coding to CDI to appeals – virtually the entire community is struggling with reimbursement for these very common diagnoses.

Unfortunately, these three diagnoses seem to be triggering an elevated negative response rate from nearly all payers. Your best bet is to be absolutely sure that anyone coding, appealing a denial, or improving clinical documentation for these diagnoses is following the up to date standard.

3 Comments

  • Posted October 31, 2017 3:59 pm 0Likes

    Great article! Good job!

    • Posted October 31, 2017 3:59 pm 0Likes

      I totally agree with you!

  • Posted October 31, 2017 4:00 pm 0Likes

    I really enjoy your blog! Keep up the great work!

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