p2p uptick

Is anyone else noticing a serious increase in the number of denials received for what seems like it should be completely obvious? I'm regularly having to do p2ps for IMRT/SBRT denial for reirradiation of the spine (i.e. overlapping, abutting or same segment) in a young metastatic breast patient with otherwise limited disease and excellent KPS. It's bananas. Evicore/Cigna are my most offensive overlords
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums