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Morgan’s Tip of the Week- more 120-day rule questions 9.28.2026

Greetings, I had a lot of feedback to last week’s Tip (below) regarding handling the 120, thought I would share some questions: If a condition is listed as a diagnosis by the treater, like Diabetes or HTN, but not treated, do we need to issue a denial?   I would say...

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Morgan’s Tip of the Week- 120-day rule questions 9.21.2026

Greetings, by special request, here is an updated Tip on the 120-day rule.  See below for my original Tip on the Churchill case from 2023 that really changed how we handle the 120. Within 14 days of the initial provision of benefits, the E/C has 3 choices: accept...

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