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hello and welcome to the third and final video for medical report writing the medical necessity letter please pull out your powerpoints and turn to the page where we begin the discussion on the medical necessity letter and follow along with me right here first question I have for you medical necessity letter versus a rural out letter what's the difference in some cases they seem very similar the components will be the same you might want to look at it like this when you are going to craft a medical necessity letter you are still the full physician or you're the patient for whom you are referring is under your care you are simply setting them out for a procedure a test or something like that with the medical necessity letter you have identified something that this patient needs and you're asking for it in a referral out letter you're referring that patient over to somebody else's care you're saying hey either temporarily or permanently the patient is now under your care that's kind of h

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