what is medically necessary
Medically necessary, criteria. A. Appropriate for the symptoms and diagnosis or treatment of a condition, illness or injury. B. Provides for the diagnosis or direct care and treatment of the condition, illness or injury.C. In accordance with the standards of good medical practice in the service area.edically necessary. Managed care adjective Referring to a covered service or treatment that is absolutely necessary to protect and enhance the health status of a Pt, and could adversely affect the Pt's condition if omitted, in accordance with accepted standards of medical practice. See Futility.
medically necessary. Managed care adjective Referring to a covered service or treatment that is absolutely necessary to protect and enhance the health status of a Pt, and could adversely affect the Pt's condition if omitted, in accordance with accepted standards of medical practice. See Futility.edically necessary. Managed care adjective Referring to a covered service or treatment that is absolutely necessary to protect and enhance the health status of a Pt, and could adversely affect the Pt's condition if omitted, in accordance with accepted standards of medical practice. See Futility.