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<p>After an extensive evaluation, it turns out that an ED patient with severe abdominal pain does not have appendicitis, only constipation. This is good news medically; financially, it is a different story. The patient may end up fully responsible for the entire cost of the ED visit, deemed “unnecessary” by the insurer. For the revenue cycle, this means lots of complaints, lost revenue, and bad debt.</p>

Abdominal Pain Was Not Appendicitis? Entire ED Visit Could Be Denied