Details
-
Change Request
-
Resolution: Persuasive with Modification
-
Highest
-
US Da Vinci CRD (FHIR)
-
1.1.0-ballot [deprecated]
-
Financial Mgmt
-
STU
-
Supported Hooks
Technical Background
Use Cases and Overview -
-
Bob Dieterle / Chris Cioffi : 12-0-0
-
Clarification
-
Non-substantive
Description
The IG should include workflows for Medical Necessity Review Requests and Experimental and Investigational Treatment Requests. As an example, medical necessity review requests for medical nutrition therapy (MNT) happen in instances where MNT is covered for some diagnosis(es) but may not include or specify a patient's diagnosis, or it is unclear whether the MNT will be covered, e.g. GI conditions, malnutrition, patient with NALFD and OSA - or cancers, etc.
In Person resolution requested.
Attachments
Issue Links
- is voted on by
-
BALLOT-32566 Negative - Becky Gradl : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
-
BALLOT-33801 Negative - Ryan Baechler : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
- mentioned in
-
Page Loading...