Workers' Comp Unwrapped 227: Overcoming Common Denials in Post-Acute Care Claims

Workers’ Comp Unwrapped · Jun 13, 2025 · 16m

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In this episode of Workers Comp Unwrapped, Max and Ayesha dive into the frustrating world of post-acute care claim denials, where even the most necessary treatments can be deemed "not medically necessary." They explore common reasons for denials, including lack of prior authorization, coding errors, and medical necessity disputes. Ayesha shares strategies to prevent denials, offering insights into how to submit better claims and fight back when denials occur. From home health care to skilled nursing and physical therapy, providers must navigate these challenges to ensure…