How do you write a letter of medical necessity?


Quick Answer

Writing a letter of medical necessity involves confirming that the patient, diagnosis and item the physician is requesting are covered; identifying the patient, treatment and equipment necessary; and attaching pertinent documents in support of the letter. Drafting an effective letter of medical necessity is vital to convince the reader that the needed assistive technology is necessary for the treatment of the patient, according to the National Assistive Technology Technical Assistance Partnership (NATTAP).

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Full Answer

Letters of medical necessity are basically requests for the funding for assistive technology to meet the medical needs of patients. The medical professional who is familiar with the patient's condition usually writes the letter in his behalf, notes NATTAP.

The following shows one way of writing a letter of medical necessity.

  1. Confirm that the patient is covered
  2. The attending physician or medical professional should confirm that the patient, as well as the medical condition and item for the treatment is covered by insurance, states Medical Home Portal.

  3. Compose the letter
  4. After confirmation, the medical professional should start drafting the letter making sure that the important elements are added. These elements are the description of disability, assistive technology description, assistive technology relationship to medical needs, inability of alternatives to meet medical needs, ability to use technology and justification that the assistive technology is a standard.

  5. Add supporting documents
  6. Documents that will help explain the medical condition, as well as documents to help justify the assistive treatment should be attached to the letter.

  7. Submit the letter
  8. Letters of medical necessity are usually sent to the Department of Human Services, an insurance company or other funding source.

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