Writing a Successful Letter of Medical Necessity for a Standing Frame
A letter of medical necessity (LMN) or letter of justification (LOJ) is a detailed prescription that a therapist or physician writes to be submitted to the insurance provider. The letter should be client specific and not just a list of the medical benefits of standing. To help you in writing a successful letter of medical necessity, you can utilize the LMN Builder free online tool which will help you with justification of EasyStand products and options. Alternatively, here is a checklist of items that we have found to makeup a successful letter of medical necessity for a standing frame:
1. Detail the client: Who is this person medically, functionally, and socially
- Include client name, date of birth, diagnosis, onset, height, weight, primary funding.
- Provide a brief, but complete description of your client’s level of function (i.e. ambulation, transfers, ADL’s, living environment, mobility, school/employment, transportation).
- Describe your client’s medical issues that will be affected by the standing technology and outcomes expected (i.e. abnormal muscle tone and reflexes, range of motion, systemic functions, loss of bone density, etc).
2. Explain how the standing frame will help achieve functional goals/outcomes.
- What is the client's current therapy program at home, school, and/or work?
- What are their functional goals?
- What other less costly alternatives were considered (i.e. ROM, splints, other methods of weight bearing)?
- What other medical intervention may be necessary if your client cannot receive a standing frame (i.e. surgeries, bracing, etc.)?
3. Describe the trial use of the proposed stander.
- What types of standing technology were considered and rejected?
- What standers were trialed? Why was each trial either approved or rejected?
- Provide the client's history of standing compliance.
4. Describe your recommendations for standing equipment.
- What type of standing technology is being recommended and why?
- What options/accessories are being recommended and why (i.e. lateral supports to assist with symmetrical alignment of the upper body, ankle straps for L/E alignment and safety, etc.).
- What is the prescribed standing program (i.e. minutes/hours per day, days per week)?
- Include the date and both the Therapist's and Doctor's signatures.
5. Include supporting material & media
- If needed, present photos & videos to convey the information along with written documentation.
- Include supporting documents: clinical studies, research, and a resource list.
Other Tips
- Be complete, but concise: reviewers do not have time to read a novel.
- Re-submit and appeal when denied.
Bantam Sample LMN (Supine)
471.89 KB
Defining Medical Necessity
445.60 KB
Evolv Large Sample LMN
23.73 KB
Evolv Medium Sample LMN
29.85 KB
Glider Sample LMN
58.68 KB
Magician Sample LMN
71.76 KB
Range of Motion Chart
93.73 KB
Stander Home Trial Log
120.55 KB
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