You need to have a friendly doc and keep them in your corner.
I had a coworker, they gave him double lors for 1st and 2nd failure,
After previous cc did nothing to him. They finally sent him to have
Form filled out saying he couldnt achieve pass. The cc called provider
And they changed the form to say he could. Later when ccm called
Me in office, the demote package only had the changed one. I promptly
Provided the one before change. Note, know whose on your side, these
Days and pt it is not your shirt and Cc, they are the enemy.
Keep notes on everything and get second opinions even
Downtown referral docs, they love to counter base drs.