As necessary definition

    • Definition of \"Medically Necessary\"

      The foregoing is a complete set of necessary conditions, i.e. the set comprises a set of sufficient condition for x's being square. Frequently the terminology of "individually necessary" and "jointly sufficient" is used. One might say, for example, "each of the members of the foregoing set is individually necessary and, taken all together, they are jointly sufficient for x's being a square."

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    • Necessity | Definition of Necessity by Merriam-Webster

      definition Definition Preventive standard in statute or rule (y/n) Existence of MCO Contracts (y/n) Contract Definition Variation in Contract/State definitions (y/n) AR Yes A service, drug, supply, or article necessary for the diagnosis of an illness or injury in accord with generally accepted standards of medical practice at

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    • [PDF File]Table 2. State Definitions of Medical Necessity ...

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      North Carolina Definition of Medically Necessary Services or Supplies N.C. Gen. Stat. § 58-50-61 “Medically Necessary Services or Supplies: Those Covered Services, including professional services or supplies which are: (a) provided for the diagnosis, treatment,

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    • [PDF File]Administratively Necessary Days - BMCHP

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      medically necessary drug products are available throughout an emergency and that these products are safe and effective, and have adequate identity, strength, quality, and purity.

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    • Documenting to Support Medical Necessity

      Administratively Necessary Day (MassHealth Contract Definition): A day of acute inpatient hospitalization on which an enrollee’s care needs can be provided in a setting other than an acute inpatient hospital and on which an enrollee is clinically ready for discharge, but for whom an appropriate setting is not available.

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    • [PDF File]The Concepts of Necessary and Sufficient Conditions

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      Definition of “Not Medically Necessary” “Not Medically Necessary” is the term applied to health care services that a physician, exercising prudent clinical judgment, would provide to a patient for the purpose of preventing, evaluating, diagnosing or treating an illness, injury, disease or its symptoms, and that:

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    • [PDF File]NC medically necessary definition - Magellan Provider

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      Why Speech-Language Pathology and Audiology Services Meet the Definition of Medical Necessity Speech-language pathology and audiology services are medically necessary to treat speech-language, swallowing, hearing, and balance disorders. Many of these disorders have a neurological basis, and result from specific injury and illness, such as head ...

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    • [PDF File]Definition of “Medically Necessary”

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      4. Being a cat is a necessary condition for being a mammal. 5. Being arrested is a sufficient condition for being found guilty in a court of law. 6. Being arrested is a necessary condition for being found guilty in a court of law. B. Assuming that each of the conditionals are …

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    • Necessary dictionary definition | necessary defined

      Attorney definition As explained to a client undergoing a Medicaid audit • There is a difference between clinical medical necessity and billing medical necessity • Just because YOU think it’s medical necessary doesndoesn t’t mean itits’s going to be AMA Definition

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    • [PDF File]5E-Medical Necessity - What Is It

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      What is Medically Necessary Care (MNC) and How Do I Correctly Document it? 2014 AAPD Definition of Medically Necessary Care Medically necessary care (MNC) is the reasonable and essential diag-nostic, preventive, and treatment services (including supplies, appliances, and devices) and follow-up care, as determined by qualified health care

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