Which of the following criteria is used to determine medical necessity?
A) Costly treatment is provided when compared with alternative methods.
B) Least expensive service is provided to patient, regardless of outcome.
C) Procedure or service is performed to treat a health care condition.
D) Treatment has a 50 percent chance of being effective for health outcome.

Question

Quizplus · Accepted Answer

Medical necessity is determined by whether a procedure or service is performed to treat a health care condition, ensuring it is appropriate and necessary for the diagnosis or treatment of an illness or injury.

Which of the Following Criteria Is Used to Determine Medical