Medical Necessity: What rules are you following?

We all know that Medicare has their definition of “Medical Necessity” under Title 18 of the Social Security Act.

But did you know that the AMA, The American College of Medical Quality, AAFP, and many Payer Contracts have their own defined language of what “Medical Necessity” means?

This week Terry discusses all of them to make sure that you are clear, legal, and compliant when submitting claims for services for your patients. You want to be right the first time!

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