Exam Preview for 5735: Writing Letters of Medical Necessity for Sea

Writing Letters of Medical Necessity for Seating and Wheelchairs

Please note: exam questions are subject to change.

1. What is a letter of medical justification? A letter written to the doctor asking for an item or device to state that it is medically necessary for the client A letter written to the doctor asking for an item or device to state that it is critically important for them to have and would be really nice A letter written to the insurance company to justify an item or device to state that it is medically necessary for the client based on an established set of criteria A letter written to the doctor asking for an item or device to state that it is critically important for them to have and would be really nice
2. Who cannot write a letter of medical justification on their own? Physical therapist Occupational therapist Physician Vendor
3. Which below is the least costly alternative? A provision in the health insurance policy that states that the insurance company will pay for whichever item is chosen by the therapy team A provision in the health insurance policy that states that the insurance company will cover the least expensive device when multiple options are possible A provision in the health insurance policy that states that the insurance company will cover whatever the family chooses A provision in the health insurance policy that states that the insurance company will cover whatever items are available at the time of the evaluation regardless of cost.
4. What is important to note on a letter of medical justification template? Try to avoid check box template forms or impersonalized form letters It is critical to personalize each request to the individual and to what the insurance company requires It needs to be signed by the author and evaluator All of the above
5. What should you include in the body of a letter of medical justification? List individual specific age, diagnosis that are important to equipment List current equipment and if it is meeting medical need All major medical changes All of the above