Fight Until the Very End: Sepsis and Malnutrition Denials


Payers  deny  claims  on  a  wide  variety  of  grounds,  but  it’s  no  secret  that  certain  diagnoses  seem  to  be  frequent  denial  targets.  Each year, respondents to the CDI Week Industry Survey say that both sepsis and malnutrition remain top denied diagnoses, and there is little sign of those denial rates slowing.


This report will address:

  • Challenges with malnutrition audits and denials
  • Guidelines for sepsis documentation
  • Organizational criteria for malnutrition and sepsis clinical validation, denial prevention


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