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
D
Health Professions
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When three of the four alpha genes are deleted, what is the disorder known as?
a. ?-thalassemia b. ?-thalassemia c. Hydrops fetalis d. Hemoglobin H disease
Health Professions
Where is the "SEE CATEGORY" notation used?
A) in the V code and E code chapters only B) in the Tabular List C) in both the Alphabetic Index and Tabular List D) in the Alphabetic Index (signals the coder to reference a specific category in the Tabular List)
Health Professions