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Our Story

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The old way wasn't working.

"O
vercoming the hurdles and trying to think of how people would use it across the entire country has been a big job. We cannot wait to see how people use it and want it to be changed."

The LMN Builder concept came from utter frustration with the amount of time it takes to create quality letters that would provide adequate information to the payer sources. That process was taking 1-3 hours for each letter even when we copy / pasted like crazy, the stuff we already had on file.

There was so much repeated work and wasted time. Often times the clinical portion of the letter ended up being brief just because of how little time we had left over after repeating all of the justifications for each item. (Never mind, completing that patient's notes!)

Something had to change.

Medical reviewers need complete, clinical based letters of medical necessity to understand specifically why we are stating that a particular device is required. "Canned" or "Cookie Cutter" letters are fast but they do not get the job done. The reviewers do not like them and they usually do not give a good picture of what is going on and what is needed. The payers deny requests that are supported by cookie cutter letters because it was not in the clinician's own words and incomplete.

Now there's a better way.

The LMN Builder concept as a web-based tool was born. We developed the tool, put it on the web and made it free for clinicians so everyone could easily access it. We overcame some obstacles to make sure everyone would be able to use it.

  • The site had to be HIPAA compliant, secure and accessible from work or home.
  • The letters could not be "canned" or "cookie cutter" so the medical reviewer could easily understand what each individual needed.
  • The tool needed to remember how each clinician justifies each item and an easy way to make alternate justifications because each client needs the similar things but for different reasons.
  • The tool needed to remember all of our clients and all of the letters we wrote for them so we could track them and save time on future letters.
  • There had to be a way for the RTS to send a spec sheet to the clinician. So everyone would save time.
  • The RTS and clinician needed to work together but the RTS is not allowed to contribute to the letter. The RTS can only submit the spec sheet. We had to figure out how to ensure privacy and prevent conflict of interest when they worked together.
  • We had to figure out a way to pay for all of the ongoing costs of running the web site.

Initial launch and beyond.

February 2009 we launched the beta (starting) version of the web site. We love it. It will change how everyone does this work.

Overcoming the hurdles and trying to think of how people would use it across the entire country has been a big job. We cannot wait to see how people use it and want it to be changed.

The process of working the bugs out and improving the site will take some time but with everyone's input and suggestions we all will have a great tool.

Hopefully people will use it to make their work day a little easier and their professional life a little more satisfying.

Use it in good health and let me know what you think.

Jim Noland
Founder
LMNBuilder.com
jim@lmnbuilder.com