The sad thing is they do hire some licensed healthcare professionals to fall back on when appealed. They just look for the least compassionate MDs to rubber stamp denials.
Eh, generally a peer to peer won’t get denied but requiring a peer to peer is a good way to waste the doctors time in the hopes they’ll give up on the request. The instance company isn’t paying the doctor extra time to perform the peer to peer after all. Now if that time was billable, you’d see it go away real fast.
The sad thing is they do hire some licensed healthcare professionals to fall back on when appealed. They just look for the least compassionate MDs to rubber stamp denials.
Eh, generally a peer to peer won’t get denied but requiring a peer to peer is a good way to waste the doctors time in the hopes they’ll give up on the request. The instance company isn’t paying the doctor extra time to perform the peer to peer after all. Now if that time was billable, you’d see it go away real fast.