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Payers, Hospitals Disagree About Whether Patient Meets Inpatient Criteria

04:51 EST 3 Jan 2020 | Relias Media

Payers are refusing to pay claims for gastric bypass, joint replacement, and even cataract extraction. Why? Because documentation in the record does not support the need for surgery.

Original Article: Payers, Hospitals Disagree About Whether Patient Meets Inpatient Criteria

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