Question

define medical necessity, as a Medical assistant, do we have the ability to make that determined?

define medical necessity, as a Medical assistant, do we have the ability to make that determined?

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Answer #1

A decision made by a health plan as to whether a treatment, test, or procedure is necessary for a patient's health or to treat a diagnosed medical condition

Medical necessity defines the clinical circumstances under which an item or service is considered to be:

Reasonable

Necessary

Appropriate

Safe and non-experimental

Yes , we have the ability to make that determined

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