Monthly Archive for: ‘January, 2013’

  • Say No To No

    HEALTH INSURER DENIALS MUST BE CHALLENGED: PART 1

    Insurance payers are getting more aggressive denying all forms of treatment for all sorts of reasons. Claims of long-time FDA approved devices or well-accepted modes of surgical access are often being routinely denied as suddenly “experimental, investigational or unproven.” Treatment modalities and surgical interventions accepted by specialists are suddenly “not medically necessary” or they “do not meet payer coverage criteria.” The question is “How do patients and providers effectively challenge these unreasonable bars to treatment access?”

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