Covered Conditions
This is the description of a restrictive lung disease.
What is the chronic condition that limits the ability of lungs to expand during inhalation that reduces air person breathes in?
What is a Letter Medical Necessity?
This is when the patient's renewal appointment occurs.
What is on or immediately following 60 days within renewal cycle?
This is listed on page 2 of POC.
What is medication list?
This is how many patients a medical necessity writer can provide for.
What is 150 patients?
These are the two types of restrictive lung diseases.
What is intrinsic and extrinsic?
This is where you can find the Letter Writer University.
What is Sharepoint?
This is the assessment completed by the nurses for every renewal cycle.
What is renewal nursing assessment?
This role functions as subject matter experts in assessing medical evidence.
What is Nurse Consultant?
This is the purpose of a medical necessity writer.
What is obtaining approval for renewals and increases in patient plan of care?
This is where you can find a patient's current symptoms.
What is HVQ?
These are the top tools medical necessity writer's use.
What are ICD-10 data, nurse labs, LMN/POC, and patient files?
This is the point of time in the renewal cycle that LMN needs to be signed by DOR.
What is 30 days within renewal cycle?
This is the appropriate test for CKD.
What is lab studies?
These are the types of fall testing.
What is Morse Fall Scale, 30 Second Chair Stand, and TUG?
This is an example of obstructive lung condition.
What is COPD, Asthma, Cystic Fibrosis, Bronchiectasis, Chronic Bronchitis, Emphysema
Letters must be this for each patient.
What is unique?
This is the process after patient is hospitalized.
What is check DME needs and increase needs?
This role offers third party services of a contractor to coordinate referrals of cases to qualified medical specialists.
What is CMC?
A medical necessity writer does this with data.
What is research and analyze?
This is the description of an obstructive lung condition.
What is when the airway obstruction limits the outflow of air from lungs?
These are the contents of an LMN.
What is health status, objective medical evidence, and care requested?
This is the use of multiple medications to treat multiple conditions at the same time.
What is polypharmacy?
This is where you find a patient's current symptoms.
What is HVQ?
The crucial role of a medical necessity writer is obtaining this without lapse of service for the prescribed level of care for patients.