Clinical Revenue Recovery Nurse
San Diego, CA
Scripps Health – Nurse Reviewer for the Clinical Revenue Recovery Department. The Reviewer generates appeal letters that substantiates an inpatient stay according to the Medicare appeals process. The letter detailed an account of events that required an outpatient procedure to become an admission. For example, I was able to qualify the - more ... admission based on the patient’s pre-existing medical history or unexpected occurrence (s) according to the criteria from InterQual and Milliman. - less
ProsThe agency was fair and accommodating to the nurse's needs.