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Quoting this guideline verbatim in the PA request letter converts a clinical opinion into a guideline-concordant recommendation, which Kaiser's utilization management reviewers are obligated to weigh under medical necessity standards
These factors may include the strength of the evidence, impact on the persons quality of life, and whether the injury is life-altering
This is not hype
The real fishing problem is when someone runs lots of these tests and then only reports the one significant result (like green jelly beans linked to acne! below)
Whats normal to experience: Gradual hunger increase Appetite suppression doesnt disappear overnight
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