Wiki Denial help

[Revenuecycle]

A portion of an inpatient stay in the mental health unit has been denied bc payer says that services could of been received in a setting other than a hospital inpatient room.
Any tips on appealing this. The pt was here for about two weeks, part of the stay is being covered and some days are not???

 

[kevbshields]

This is a medical necessity denial and should be handled either in conjunction or solely by a clinician.