CEREBROSPINALECTOMYInsurer: "This is a retrospective review of the thrombolytic." Me: "You are reviewing whether he should have gotten it." Insurer: "Correct." Me: "He got it forty minutes after the last time he was normal." Insurer: "And how did that turn out?" Me: "He is at his daughter's wedding. Is that a covered outcome?" What's the worst denial reason you've been given? Send this to whoever does your peer-to-peer calls.
EXPLAINED (ACCURACY-CHECKED)
The benefit of IV thrombolysis for acute ischemic stroke is time-dependent, with greater odds of favorable functional outcome the earlier treatment is delivered within the established window.
Established stroke therapeutics — time-dependent benefit of IV thrombolysis is one of the best-replicated findings in vascular neurology (pooled thrombolysis trial analyses).
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