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Wiki 43280 outpt only???

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herrera4

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223
Location
Wallingford, CT
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we have a denial for this claim-the procedure was done as inpatient. I know we called prior to surgery for auth-they did tell us surgery needs to be outpatient for payment. Surgeon still wanted to keep as inpatient-looking through notes of inpatient only list-it doesn't look I should appeal this?

any advice-first time scenario here

thanks
 
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