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Jonathan Cheng, MD
Hand and Peripheral Nerve Surgeon
If your patient’s initial insurance authorization request is denied, our justification, authorization and billing experts will prepare an appeal and offer your patient guidance on strategies for self-advocacy. In today’s health insurance environment, denial of the initial authorization request has become commonplace. Our standard response is to file an appeal and include additional justification information.
After your patient has been authorized for care, we’ll schedule them for a 3-5 day expedited fitting. If their case is complex, a second expedited fitting period may be required to refine their prosthesis and deliver a final ("definitive") version of their device. In most cases, both of these fittings happen within a span of two weeks.
In most cases, when your patient has completed their fitting and prosthetic training, you’ll receive a video showing their rehabilitation progress. After that, your PRM will contact you periodically with patient updates and occasionally deliver the latest upper limb prosthetic rehabilitation materials to your office.
"If your friend or family member lost an upper limb, wouldn’t you want them to have the best possible opportunity to get back to doing the things they enjoy? Life is about so much more than being able to lift a spoon to your mouth."
Matt Koepplinger, DO, Hand Surgeon
Memorial Hermann Texas Medical Center