The orthotic or prosthetic services are performed by a duly licensed and/or certified, if applicable, orthotic and/or prosthetic provider. (All services provided must be within the applicable scope of practice for the provider in their licensed jurisdiction where the services are provided);and The ...
Shared clinical decision-making recommendations are individually based and informed by a decision process between the health care provider and the patient or parent/guardian. The CDC defines a health care provider as anyone who provides or administers vaccines: primary care physicians, specialists, phys...
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A Health Technology Assessment Report (1998) from the Alberta Heritage Foundation for Medical Research concluded that computerized dynamic posturography is not an established technology in the rehabilitation of vestibular and/or balance deficits associated with stroke, brain injury, and amputation. Dynamic ...
Aetna considers up to a combined limit of 26 individual or group visits by any recognized provider per 12-month period as medically necessary for weight reduction counseling in adults who are obese (as defined by BMI greater than or equal to 30 kg/m2Footnotes**). The number of medically nec...
Furthermore, it would be interesting to find out whether this transferred into hard end-points like less frequent hospitalization, lower treatment costs, and possibly an improved outcome. For a long time, symptomatic patients with NOCAD were assured of the benign nature of their condition. However...
Treatments that do not require the skills of a qualified provider of speech therapy services, such as treatments that maintain function by using routine, repetitious, and reinforced procedures that are neither diagnostic nor therapeutic (e.g., practicing word drills for developmental articulation errors...
. They have argued that removal of even a few hundred grams of breast tissue can result in substantial pain relief. These individuals cite evidence from observational studies to support this position (e.g., Chadbourne et al, 2001; Kerrigan et al, 2001). These studies did not find a ...
These devices are not for home use, but must be used by a healthcare provider, such as a physician or physical therapist, in a clinic or office setting.Kang, et al. (2007) reported on a single-blinded pilot randomized controlled trial in 70 patients with knee osteoarthritis who were ...
The provider will be notified of the coverage decision after review of all pertinent data. Diagnostic Testing Aetna considers the following medically necessary for diagnostic testing for TMJ/TMD using the following modalities: Examination including a history, physical examination, muscle testing, range ...