Preauthorization Inconsistencies Prevail in Reduction Mammaplasty
Carter J. Boyd,
Kshipra Hemal,
Joshua M. Cohen
et al.
Abstract:Background:
Despite evidence documenting the physical and psychological benefits of breast reduction, third-party payer approval remains a cumbersome process. The objective of this study was to assess differences in medical necessity criteria for reduction mammaplasty among US insurance carriers while analyzing trends in claim denials and appeals.
Methods:
The medical necessity criteria for reduction mammaplasty were retrieved from seven large health in… Show more
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