Question

Describe and discuss the establishment of "medical necessity".

What does this mean to the

1. patient

2. provider

3. healthcare entity.

Please make sure to explain what it means to all three listed above**

Do not hand write

Answer 1

Medicare defines medical necessity as health care services or supplies needed to prevent ,diagnose,or its symptom and that meat accepted standard of medicine.

1Medical necessity mean to patient- it is justified as reasonable based on evidence based clinical standard of care.

2 mean to provider-medicare only pay for item and service which is necessary and reasonable

3mean to health care entity-provide health care service through formal peer review process for further quality health care.

3mean to health care