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Sample appeal letter: Encephalopathy

This sample was provided by Trey La Charité, MD, FACP, SFHM, CCS, CCDS, a hospitalist at the University of Tennessee Medical Center at Knoxville, a clinical assistant professor with the department of internal medicine, and the medical director of UTMC’s CDI, coding, and revenue auditor response programs. 

This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee recommends that, should you choose to use this sample, you adapt it to your particular programmatic needs, policies, and procedures. Additionally, the committee recommends that those adapting this sample make sure to use up-to-date resources and references when formulating their appeals. 

Editor’s note: This resource was originally published on ACDIS.org.

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