Medical necessity letter templates for SLPs and OTs

This pack holds a medical necessity letter template and the other letters speech-language pathologists and occupational therapists send to payers. Type a shortcut in your EMR's letter editor, Word, Google Docs or the payer portal and the letter appears, with the diagnosis, visits and goals you fill in with text boxes and drop-down menus.

What's inside

• /lmn: a letter of medical necessity template for occupational therapy or speech therapy. Pick the discipline and the deficit list and clinician title follow. The visit total is worked out for you.
• /appeal: a medical necessity appeal letter template. Quote the denial, pick the reason given (not medically necessary, educational, plateau, visit limit) and the paragraph that answers it appears. A peer-to-peer request is one checkbox.
• /par: a speech therapy prior authorization request, also for OT, with CPT and ICD-10 codes and the end date calculated. Continued requests add visits and progress.
• /pocsum: a plan of care summary with goals, interventions, discharge criteria and the physician certification line.
• /dme: an AAC medical necessity letter for a speech-generating device: the impairment, trial results, alternatives ruled out and the training plan. Switch it to adaptive equipment for OT.

Shorter snippets for commonly typed sentences

• The medically necessary sentence (/mn) and the skilled need sentence (/skneed).
• Visits and progress (/visits), a fax cover line (/faxcov) and a peer-to-peer request (/p2p).

The letters give you the structure; the clinical facts are yours. Check codes against each payer's own list.

Use /lmn for your next request. Then save one sentence you type often as your own snippet: /mn is a good first one, and it takes seconds instead of a paragraph of retyping.