“A Medical Necessity” Part 2

written by James S.

Well part two of “A Medical Necessity” has been a learning experience for me to say the least. I started out with very good intentions hoping to find an easy way for all of us parents to get some help with acquiring adaptive cycles or recumbent tricycles for our children and for our disabled veterans, what ever special needs they have.  This  endeavor is going to take a little longer than a night or two from the looks of it. All that I can promise is to compile as much information as possible that will be the most beneficial  to everyone.

This is an excerpt from www.thefreelibrary.com along with a link to the complete article.

Typically, a piece of adaptive equipment is utilized to increase a child’s function. Examples of adaptive equipment or assistive technology are wheelchairs, lifts, standing frames, gait trainers,augmentative communication devices, bath chairs, and recreational items such as swings or tricycles. The process of obtaining a particular piece of equipment is defined primarily by the funding source. The funding source may be through your child’s health insurance; it may be through the child’s school system; or it could be through private funding.

My child needs a piece of adaptive equipment now what? Well, it depends!.

I have tried to find information on writing a letter of medical necessity and who is supposed to actually do the writing, us, the doctor/therapist, or both.

This is an excerpt from the article “Writing letters of medical necessity“, also from www.thefreelibrary.com.

While it is typically the duty of a medical professional to write a Letter of Medical Necessity, there are other people whose opinions can help sway those reviewing the claim. Teachers, case managers, counselors and parents all provide different points of view that are valid to establishing medical necessity. Their description of how the patient functions in various settings and how that can be improved with the desired intervention can not always be provided by a medical professional. While their views should not be submitted alone, they are an excellent complement to a medical opinion.

There is more information to come in the next installment of A medical necessity.

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