Medical Necessity Basics (Medicaid)

Medical necessity is a concept used by healthcare providers and payers to mean “services that are required and appropriate for a patient’s condition.”

• Define medical necessity and identify its importance
• Differentiate between medical necessity for Medicare and private payers
• Identify best practices for determining medical necessity
• Name implications of medical necessity determination

Additional Information

Advance Preparation: None

Prerequisites: None

Program level: Basic

Delivery Method: Self-study

CPE Field of Study: Specialized Knowledge

Registration:

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Refunds and Concerns:

For information regarding refunds, concerns, and/or program cancellation policies, please email us at healthcare.support@clarivate.com.