Get Off The SOFA: Winning the Fight Against Sepsis Denials

from Healthcare Musings · host Hesham A. Hassaballa, MD, FCCP

Increasingly, insurance companies and third-party auditors are denying sepsis claims and DRGs based on the “Sepsis-3” article published almost 10 years ago. Specifically, they contend that if there is no SOFA score of 2 or greater there is no sepsis. Not so fast. The article never said that, and this is crucial when fighting sepsis denials. On this episode of the podcast, Dr. Hassaballa discusses this crucial fact to help hospitals and other providers fight these ever increasing sepsis denials. Article link: https://jamanetwork.com/journals/jama/fullarticle/2492881

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This episode was published on January 12, 2026.

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