Insurance fun

Just got a denial for SBRT or even IMRT for a patient with a history of prostate cancer presenting with a single painful met to T5. No other sites of disease. On its face, I would say I am not surprised but the physician doing the peer-to-peer went on to tell me they only approve SBRT or IMRT for isolated bone mets for breast, lung, or melanoma but not prostate. Are they flipping coins to decide what level of evidence is enough? So frustrating. I don't know about anyone else but the number... Insurance fun
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums