Collecting the Clues to Support Medical Necessity for Sepsis

Are you experiencing denials or frustrations with payers related to protocols and medical necessity for your sepsis admissions?  Listen in as the coder and clinical consultant discuss the recent challenges  and solutions related to sepsis reporting. Part 2 will focus on admission protocols, denials and appeals.

Our goals are to associate documentation to:

• How do facilities decide to institute sepsis protocol?
• Medical necessity criteria for providers and payers
• What is meant by Sepsis II and Sepsis III
• How does clinical validation fit in
• Association of documentation to coding
• How to deal with payer responses

Learn how collaboration could assist to change the landscape.