The powers that be have determined that doctors prescribe things that are not necessary. While I acknowledge that there are times when consumers — er, patients — are so taken with advertising that they insist on certain documentation from their doctors (cough*scooters*cough), by and large, most of the time I have very good reasons for prescribing the things I do.
One of the things falling under the heading of “Durable Medical Equipment” is prostheses of various kinds. I often get requests for a “Certificate of Medical Necessity” for these devices, with which I have no problem. There are times, though, when the questions become so nonsensical, I feel I have no choice but to spell it out for them:
This is a request for a CMN for a prosthesis for a partial foot amputation. (Click on the image for a larger view.) For anyone who can’t read my writing, what it says for Medical Necessity is this:
It’s not going to grow back.
Because it’s not.