To whom it may concern:
Please accept this letter as appeal to insurance decisions to deny coverage for the DOC Band Treatment. It is my understanding that coverage For DOC Band treatment has been denied, based on your decision that the care was not correctly documented by provider.
was born at 36 weeks Vaginal delivery with vacuum assistant to 17 year old mother with that noted it was noticed within the very early months of his life, there was a noticeable flattening of the of his head. We as his Pediatrician recommended a rigorous campaign of repositioning her ...view middle of the document...
Due to the insurance issues that the patient was having during the time, he was referred out but was unable to pay for therapy out of pocket. Accordingly, a variety of neck stretch exercises were asked to be done with him up to five time a day in the attempt to help him develop an appropriate range of motion. When doing tummy time he was to be called by name. He can now turn his head to the side without having to turn his body or shoulders. However, the cranial deformation remains
We have provided the appropriate and recommended interventions to try at home to correct the plagiocephaly.
It is important to note that helmet therapy for this condition can only be done within a short time span. Once the bone of the skull fuses, there is no treatment other than surgery to correct this. A small amount of money released for the care during this time when things are still pliable and malleable will surely save on costly surgical procedures and lengthy hospital and rehabilitative service in the future.
The window of opportunity to act when the cranium is less calcified and growth is at a maximum must be taken into consideration.
If you have any questions of concern please feel free to contact me at the phone number listed above.
Dr. Michelle Coit M.D.