When arguing the medical necessity of the level of care or procedure or services provided, the argument always comes down to whether or not care was provided according to acceptable standards of care in the medical community.
But, how do you know what the acceptable standards of care are? Where do you find them? How do you incorporate the argument into your appeal? Where do screening tools come into play? Join us as we share strategies for incorporating standard of care arguments in your appeals.
Learning Objectives:
- Define standards of care in the medical community
- Demonstrate sources for successful research of standards of care
- Describe how to incorporate standards of care in a successful appeal
