Appeals Shortcut – Orthopedic Surgery

R. Kendall Smith, MD, SFHM Chief Physician Advisor, Intersect Healthcare

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Appeals Shortcut – Orthopedic Surgery

Quite often appeal writers are faced with the challenge of appealing a denial based on lack of medical necessity with what seems to be a minimum of information.

This presentation demonstrates techniques to build a medical necessity appeal to fulfill a coverage policy bulletin out of different portions of the chart, even when at first glance it seems like an impossible task.