Get Medical Necessity Instruction Guide And Forms - American Specialty ...

This guide provides comprehensive instructions for filling out the Medical Necessity Instruction Guide and Forms from American Specialty Health. Designed for users with varying levels of experience, this document aims to simplify the online submission process for medical necessity verification.

Follow the steps to efficiently complete the medical necessity forms.

1. Click ‘Get Form’ button to access the document and open it in your preferred editor.
2. Begin by providing details about the patient's diagnosis and treatment plan. Use the OON Medical Records Cover Sheet to input the date range for the services being submitted, along with the specific services for review. Be sure to include both the start and end dates of treatment.
3. Next, submit clinical documentation that supports the medical necessity of the services. Use the Clinical Information Summary Sheet to detail the patient's assessment findings, clinical goals, and their response to treatment. This summary will include necessary clinical data, such as past medical history, current conditions, and planned interventions.
4. Consolidate the completed OON Medical Records Cover Sheet and either the Clinical Information Summary Sheet or the relevant medical records. Once these documents are ready, you can proceed to submit them.
5. Ensure all documents are sent via mail or fax to the specified address: ASH Group, P.O. Box 509001, San Diego, CA 92150-9001, or fax to 1.877.248.2746. Double-check that you have included all necessary attachments to prevent delays.
6. After submission, monitor for the Medical Necessity Review Response Form, which will include details on the decision regarding your submission. This form will contain important information like approval dates and any clinical rationale for denials.
7. Finally, save your changes, download a copy of the form for your records, or print it if needed. Additionally, consider sharing it with other relevant parties to ensure everyone involved is informed.

Complete your document submissions online today for efficient medical necessity verification.