Recourse for pediatric denials.
Providers and parents are often frustrated by payors' denials of coverage for reasons such as "medically inappropriate" or "no skilled care necessary." Though the battles may seem insurmountable, recourse is available--and the successes are worth the legal battles.
Dittbrenner
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National Association for Home Care, USA.
D002648:Child; D002654:Child Care / Q000191:economics*; D003152:Community Health Nursing / Q000191:economics; D003422:Critical Care / Q000191:economics*; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence*; D019458:Insurance Coverage / Q000331:legislation & jurisprudence; D010372:Pediatrics / Q000191:economics; D019467:Subacute Care / Q000191:economics; D014481:United States