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The treating doctor rule entails the legal principle that the treating doctor, who has examined the patient and is most conversant in the affected person’s condition, is in the most effective position to make medical necessity determinations. Related Post: look at this website The treating physician rule, as adopted by some courts, reflects that the treating physician’s determination that a service is medically crucial is binding except contradicted by substantial proof, and is entitled to some extra weight, even when contradicted by substantial evidence, as a result of the treating doctor is inherently extra accustomed to the affected person’s medical condition. As famous above, RACs utilize the companies of registered nurses (moderately than physician reviewers) to conduct opinions regarding medical necessity. Providers and suppliers should reference the treating physician rule to display that the treating physician’s medical judgment as to the medical necessity of the services supplied must be given deference.
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Notice the 4-sentence construction of this introductory paragraph. Discover how the overall topic of the essay is clearly acknowledged in the first sentence and notice how the supporting proof within the second sentence and the explanation of how that evidence does assist the final matter of the essay leads the reader to the statement of the thesis – the last sentence within the introductory paragraph. Notice how the final sentence on this introductory paragraph (the thesis assertion) communicates to the reader a clear outline of what the reader could expect in the essay, thus offering the reader a chance to develop an preliminary construction of thinking in his or her personal mind to use to build an efficient understanding of the details the author of the essay intends to communicate to the reader.
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