Below is a list of terms, phrasing and supporting research you can include in your pre-authorization or appeal documentation package as appropriate:
Medically effective
FDA approved equipment
Conclusions…the effect of the intervention on health outcomes
Make argument …that measurement(s) or alteration affects health outcomes
Safe or effective
Exceeding the outcome of alternative therapies
Improve health outcomes
Applicable outside the research setting
The specific diagnosis of lipedema warrants approval.
Well-designed research
Well-conducted investigations
Nationally-recognized medical journals
Published in peer-reviewed journals
Quality of the body of studies and the consistency of the results
Superior clinical outcomes [Fallon health; use of “superior”]
Greater safety or efficacy than conventional treatments
Technological assessments
Randomized control studies
Published peer literature
Expert opinions
Recognized by the plan as standard medical care for the disease being treated
Peer-reviewed literature
Proven beneficial impact