How does RAPID support medical necessity?
RAPID supports medical necessity by enforcing a five step process that documents the patient’s history fully; forces a complete exam so that no detail is overlooked; supports diagnosis by establishing an orderly guided process that provides a complaint analysis that considers not only the patient’s basic complaint but also potentially related conditions; automatically links the doctors treatment plan to the findings of the exam and; forces the institution of treatment goals at the outset prior to exiting the on-screen exam form. By observing all of these requirements the doctor is virtually assured of satisfying all payer requirements.
Related Questions
- What will DCS accept from the provider when supporting a medical necessity denial? If the provider has their own algorithm for medical necessity can this be used to support the decision?
- Can a CPAP CMN still be utilized to support medical necessity for PAP devices?
- Who is responsible for obtaining the precertification of medical necessity?
