Medical Necessity

Presented by RCCS

“Medical Necessity” refers to the clinical judgment that a treatment, service, or procedure is essential to prevent, diagnose, or treat a medical condition. It forms the basis for determining whether an insurance payer or government healthcare program will cover the cost of a particular medical intervention. This webinar will discuss key elements of Medical Necessity that healthcare professionals can consider when evaluating the need for a particular medical intervention. Additionally, the speaker will cover best practices for completing Advanced Beneficiary Notices (ABNs) and documentation for Medical Necessity.