Definition:
Know the Official Stance on Medical Necessity
Published on Tue May 21, 2019
Get familiar with AMA and CMS viewpoints. According to the American Medical Association’s (AMA’s) 2011 report to the Institute of Medicine’s Committee on Determination of Essential Health Benefits, the AMA defines medical necessity as “Health care services or products that a prudent physician would provide to a patient for the purpose of preventing, diagnosing or treating an illness, injury, disease [...]