Automatically Create a Dear Physician Letter
When a physician's chart note fails policy criteria, ClaimGrade drafts the addendum request letter for you — specific to the exact requirements that failed — and can fax it straight to the referring doctor's office.
Chasing physician documentation can take hours out of your week
The DME MACs' own "Dear Physician" letters exist because referring physicians routinely under-document for orthotic and prosthetic claims. Supplier notes can corroborate, but they can't stand alone — if the doctor's record doesn't establish medical necessity, the claim fails, no matter how good your own documentation is.
The traditional fix is a billing specialist writing a custom letter, faxing it, and chasing a signature — twenty minutes of expert time per case. ClaimGrade turns that into one click, because it already knows exactly which criteria failed and why.
From failed criterion to signed addendum
- 01
Analysis finds the gaps
The physician note is graded per criterion. Whatever fails becomes the letter's content — no generic template language.
- 02
Letter drafts itself
An educational, professional addendum request explaining what to document and why — written so a busy physician can act on it in minutes.
- 03
Fax it directly
Send the request to the referring physician's office from inside ClaimGrade — no separate fax workflow, no lost paper.
Letters start from chart note analysis and reflect the criteria maintained by the Medicare LCD compliance check.
Stop writing addendum letters by hand
Run a failing note through ClaimGrade and watch the physician letter write itself.
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