Diagnosis: Left Sided Numbness And Parenthesis (ischemic stroke).
Treatment: Inpatient admission.
The insurer denied the inpatient admission.
The denial is upheld.

The patient is a male. He presented to the emergency ward with the complaint of left hemibody numbness. CT (computerized tomography) brain and MRI (magnetic resonance image) brain were negative for acute intracranial pathology. He underwent echocardiogram, telemetry monitoring, continued on aspirin and started on high dose statin.

No, the Inpatient Admission was not medically necessary.

The patient presented with possible stroke. He had no significant neurological examination deficits, and neuro-imaging was negative. Risk stratification for TIA (transient ischemic attack) does not require inpatient admission in this clinical context. The diagnostic studies, monitoring and treatment could have been safely and effectively completed at a lower level of care.

Therefore, given the above, the Inpatient Admission was not medically necessary