Below is a list of terms, phrasing and\nsupporting research<\/strong> you can include in your\npre-authorization or appeal documentation package as appropriate:<\/p>\n\n\n\nMedically\neffective<\/p>\n\n\n\n
FDA\napproved equipment<\/p>\n\n\n\n
Conclusions…the\neffect of the intervention on health outcomes<\/p>\n\n\n\n
Make\nargument \u2026that measurement(s) or alteration affects health outcomes<\/p>\n\n\n\n
Safe or\neffective<\/p>\n\n\n\n
Exceeding\nthe outcome of alternative therapies<\/p>\n\n\n\n
Improve\nhealth outcomes<\/p>\n\n\n\n
Applicable\noutside the research setting<\/p>\n\n\n\n
The\nspecific diagnosis of lipedema warrants approval.<\/p>\n\n\n\n
Well-designed\nresearch<\/p>\n\n\n\n
Well-conducted\ninvestigations<\/p>\n\n\n\n
Nationally-recognized\nmedical journals<\/p>\n\n\n\n
Published\nin peer-reviewed journals<\/p>\n\n\n\n
Quality\nof the body of studies and the consistency of the results<\/p>\n\n\n\n
Superior\nclinical outcomes [Fallon health; use of “superior”]<\/p>\n\n\n\n
Greater\nsafety or efficacy than conventional treatments<\/p>\n\n\n\n
Technological\nassessments<\/p>\n\n\n\n
Randomized\ncontrol studies<\/p>\n\n\n\n
Published\npeer literature<\/p>\n\n\n\n
Expert\nopinions<\/p>\n\n\n\n
Recognized\nby the plan as standard medical care for the disease being treated<\/p>\n\n\n\n
Peer-reviewed\nliterature<\/p>\n\n\n\n
Proven\nbeneficial impact<\/p>\n","protected":false},"excerpt":{"rendered":"
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 \u2026that measurement(s) or alteration affects health outcomes Safe or effective Exceeding the outcome… Continue reading → <\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[33],"tags":[56,38,11,73,74,12,28,75,13,31,5,6,20,21,24,16,23,52,34,22,26,63,27],"class_list":["post-117","post","type-post","status-publish","format-standard","hentry","category-reimbursement","tag-claim-appeals","tag-claim-denial","tag-comorbidities","tag-comparable-conditions","tag-contract-for-exclusions","tag-cosmetic-surgery","tag-cpt-code","tag-cut-and-paste","tag-experimental-investigative-or-unproven","tag-icd-10-cm","tag-lipedema","tag-liposuction","tag-lymph-sparing","tag-medical-claim-form","tag-medical-insurance-companies","tag-medical-necessity","tag-medical-reimbursement","tag-medicare","tag-pre-authorization","tag-reconstructive-surgery","tag-reimbursement-policy","tag-reseach-studies","tag-tumescent-liposuction"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/posts\/117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/comments?post=117"}],"version-history":[{"count":1,"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/posts\/117\/revisions"}],"predecessor-version":[{"id":118,"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/posts\/117\/revisions\/118"}],"wp:attachment":[{"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/media?parent=117"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/categories?post=117"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/12uh.com\/lipoforlipedemareimbursement\/wp-json\/wp\/v2\/tags?post=117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}