The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent,diagnose,or treat an illness,injury,or disease or the associated symptoms in a manner that is:
A) in accordance with the generally accepted standard of medical practice
B) clinically appropriate in terms of frequency,type,extent,site,and duration
C) not for the intended economic benefit of the health plan or purchaser or the convenience of the patient,physician,or other health care provider
D) all of the above

Question

​The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent,diagnose,or treat an illness,injury,or disease or the associated symptoms in a manner that is:
A) ​in accordance with the generally accepted standard of medical practice
B) ​clinically appropriate in terms of frequency,type,extent,site,and duration
C) ​not for the intended economic benefit of the health plan or purchaser or the convenience of the patient,physician,or other health care provider
D) ​all of the above

Quizplus · Accepted Answer

The AMA defines medical necessity as encompassing all the given options: services or procedures that are in accordance with generally accepted standards of medical practice, clinically appropriate in terms of various factors, and not primarily for economic benefit or convenience.

​The AMA Defines Medical Necessity as Services or Procedures That

The AMA Defines Medical Necessity as Services or Procedures That