Question

In: Nursing

Describe and discuss the establishment of "medical necessity". What does this mean to the 1. patient...

Describe and discuss the establishment of "medical necessity".

What does this mean to the

1. patient

2. provider

3. healthcare entity.

Solutions

Expert Solution

Answer:Medical necessity may be defined as the Medical health care services that a physician, exercising prudent clinical judgment, would provide to a patient. The services healthcare system should provide are:

For the purpose of evaluating, diagnosing, or treating an illness, injury, disease, or its symptoms

  • In accordance with the generally accepted standards of medical practice
  • Clinically appropriate, in terms of type, frequency, extent, site, and duration, and considered effective for the patient's illness, injury, or disease
  • Not primarily for the convenience of the patient, health care provider, or other.

These essential things should be provided to the patient so as they will get better treatment and all the facilities. This will help patient to recover soon. It will make easy for all the healthcare professionals to work as smoothly as everything will be available for the treatment of the patient.


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