A service that is rarely provided, unusual, variable, or new would always require a special report in determining medical appropriateness of the service.

Question

Quizplus · Accepted Answer

When a medical service is rare, unusual, variable, or new, there may not be enough evidence to determine its appropriateness for a patient's specific condition. Therefore, a special report would be required to assess the medical necessity and appropriateness of the service before it can be provided.

A Service That Is Rarely Provided, Unusual, Variable, or New