mfn1974
Contributor
Running into semantics with the UM team related to alt level of care with MA plans.... I'm interested to know how others finalize a bill that has been denied due to nonqualification for an inpatient stay, particularly when the denial states the carrier considers it to be Obs. Do you rebill Obs (although the order states inpatient) using the letter as your "justification" or do you follow Medicare guidelines?