Letter Of Medical Necessity Template

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For example, a diagnosis of "fatigue, bone pain or weakness" is not specific -a diagnosis of medical necessity will help to explain the physician's rationale and clinical decision-making in choosing a therapy. Learn more about authorization and coverage. Whether in response to a denial or as an initial request for funding or reimbursement, a properly completed LOMN makes clear the necessity of a particular medical intervention for a patient to an insurance company or other funding source.

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The following is a sample letter letter of medical necessity will help to explain the physician's rationale and clinical decision making in choosing a therapy.

Date: To Whom It May Concern: I have been treating _____ for physical medicine and rehabilitation.

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