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▷ ▶ Mediblue Current Process SelectSmart.com free Medical flowcharts and decision trees.
A SelectSmart.com Flowchart by vgrass01. See vgrass01's 4me blog page.
Viewed 513 times. Created August 2013.
This SelectSmart.com Medical flowchart, a free online decision tool is a creation of vgrass01 and for amusement purposes only. The implicit and explicit opinions expressed here are the author's. SelectSmart.com does not necessarily agree.
MedicalMediblue Current Process
By vgrass01
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Mediblue Current Process used and how it affects appeals and denials

               
 
 
Clinical faxed to Manila, Phillipines
*Faxing Delays *Failed Faxes
 









 
 
Manila establishes case in system and scans initial clinical to acute team
 
 









 
 
Acute team review
 
 









 
Denial for lack of medical necessity
Site of service denial
Approved *Documentation supported medical necessity *On CNS inpatient list
 









 
Additional clinical faxed or called in to acute team
 
 
 









Approved
Upheld
Additional information not considered due to appeal initiation or communication breakdown
 
 









 
Appeal
Appeal