Hospitalized, but Not Admitted: Admission Status
Hospitalized, but Not Admitted: Admission Status
Hospitalized, but Not Admitted: Admission Status
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Medical Necessity<br />
• A test may be appropriate, <strong>but</strong> not “necessary”<br />
• MN relates more to setting of service than to need for<br />
service<br />
• Common denial reasons:<br />
– Lack of supporting documentation<br />
– Pre-existing conditions<br />
– Lack of preauthorization<br />
– Interventions deemed experimental
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