In 2020 there are numerous medical carrier reimbursement policies that fall into the “maybe” category. The policy references either liposuction or lipedema but states that it may be evaluated as reconstructive and medically necessary. In that case you have to work the four components of reconstructive: Improve functionality Restore to… Continue reading
The Excel Spreadsheet of this list is the end of this document. Below is a Visio Graphic of the same information. I recommend both and the graphic alone could take an hour to review and understand. This is a very important list. I recommend grading your documentation and case in… Continue reading
Below I reviewed ten Experimental/Investigational (E/I/U) healthcare policies. The goal here is to compare and contrast them. While very similar, there are differences in the definitions, requirements, and restrictions. I have emphasized issues and terms I consider important. Remember my mottos: Words matter Specificity matters Dates matter Accuracy matters Tailoring… Continue reading