Ortho Net request

[Guest guest]

After meeting the notification requirement required by OrthoNet, a

contracted vendor for a Humana Medicare patient, our office recently

received a FAX from OrthoNet as follows; " We encourage you to request an

advanced coverage determination before the start of the service or procedure

identified above so that a decision can be made on the medical necessity of

the procedure or service. Simply check the 'yes' box below to indicate you

are requesting an ACD. Then fax this letter with the appropriate supporting

clinical documentation to us at.. Has anyone else out there received

something like this recently? Is this even reasonable? We have never had a

request like this before. If someone can shed some light on this for us it

would be appreciated.