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Health care services or products that a prudent physician would provide to a patient for the purpose of preventing, diagnosing, treating or rehabilitating an illness, injury, disease or its associated symptoms, impairments or functional limitations in a manner that is: (1) in accordance with generally accepted standards of medical practice; (2) clinically appropriate in terms of type, frequency, extent, site and duration; and (3) not primarily for the convenience of the patient, physician, or other health care provider.
What else can I help you with?
What does exigent mean?
Exigence is a requirement or necessity.
Does Medicaid cover cab fare?
no, not a medical necessity
Why doesn't medicare cover cosmetic surgery?
it is not considered a medical necessity
What is established when the diagnosis and treatment of a patient are logically connected?
medical necessity
Did Blackbeard have one leg?
it was a medical necessity, he lost his leg to diabetes
What does the medical abbreviation LMN mean?
1) Lower Motor Neuron 2) Letter of Medical Necessity (insurance)
Does the va medical cover tubal ligation?
It depends on the company, the policy and/or its medical necessity; some do, and some don't.
What happens when the claim is rejected for medical necessity?
When a claim is rejected for medical necessity, the healthcare provider or patient is typically notified of the denial, often providing a reason for the rejection. The provider can then appeal the decision by submitting additional documentation or evidence to support the necessity of the treatment or procedure. In some cases, the patient may be responsible for the costs if the appeal is unsuccessful. It's essential to review the insurance policy to understand the criteria for medical necessity and the appeals process.
What code set establishes medical necessity?
ICD-9-CM codes
What is the definition for the word requirement?
The noun 'requirement' is a a word for a necessity, an obligation, a prerequisite; a word for a thing.
Who is responsible for determining medical necessity?
Medical necessity is primarily determined by healthcare providers, such as physicians and specialists, who assess a patient's condition and the appropriateness of treatments based on clinical guidelines and individual patient needs. Additionally, insurance companies may have their own criteria for medical necessity, which can influence coverage decisions. Ultimately, the determination involves both clinical judgment and adherence to payer policies.
What is the medical definition for myelopoiesis?
Formation of bone marrow, or of the cells that bone marrow makes is the medical definition for myelopoiesis.
