Documentation of Medical Necessity definition

Documentation of Medical Necessity means that you must disclose any prescribed medications that you are taking. It also means that you may need to contact the physician for their documentation of the prescription.
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Examples of Documentation of Medical Necessity in a sentence

  • Documentation of Medical Necessity Providers must document medical necessity for service delivery under the CIS program.

  • If PERS is delivered by mail, the provider must not submit a claim to the MassHealth agency for the PERS installation.(E) Documentation of Medical Necessity.

  • PROGNOSIS Signature of Examiner Examiner (Print) Date Documentation of Medical Necessity for the Provision of Contact Lenses (This form is to be completed and attached to DCH-0893 when requesting prior authorization for the provision of contact lenses.

  • Notwithstanding the above points, in order for a patient to participate in our program, he or she must: (1) freely choose home dialysis, and (2) meet certain more frequent dialysis medical necessity criteria, as set forth in Dialyze Direct’s internal policies, Medicare local coverage determinations as provided in the Physician Documentation of Medical Necessity Greater than Three Times Weekly Hemodialysis form, and policies of insurance companies.

  • As such, our admission criteria states that, in order for a patient to participate in the program, he or she must: (1) freely choose home dialysis, and (2) meet certain more frequent dialysis medical necessity criteria, as set forth in Dialyze Direct internal policies, Medicare local coverage determinations as provided in the Physician Documentation of Medical Necessity Greater than Three Times Weekly Hemodialysis form, and policies of insurance companies.

  • Documentation of Medical Necessity of rendered, ordered and prescribed services.

  • Conditions and criteria for Determination and Documentation of Medical Necessity in an Inpatient Rehabilitation Facility are determined in the Medical Necessity Guidelines found here: https://www.commonwealthcarealliance.org/ma/providers/medical-policies/medical-necessity-guidelines/.Conditions and criteria for Long-Term Acute Care Hospital (LTACH) are determined by InterQual guidelines.

  • Hospitals, reviewers and providers should find it useful in their efforts to assure that treatment is medically necessary, appropriate,cost-effective and of adequate quality.> Documentation of Medical Necessity of Child and Adolescent Guidelines for use in Managed Care, Third-Party Coverage and Peer Review.This 30-page monograph is chapter 4 on criteria for admission and continued treatment from the binder listed above, reprinted in booklet form.

Related to Documentation of Medical Necessity

  • Self-Administration of Medication means the individual manages and takes his or her own medication, identifies his or her medication and the times and methods of administration, places the medication internally in or externally on his or her own body without staff assistance upon written order of a physician, and safely maintains the medication without supervision.

  • Administration of Medication means the act of placing a medication in or on an individual's body by a staff member who is responsible for the individual's care.

  • Electronic and Information Resources Accessibility Standards means the accessibility standards for electronic and information resources contained in 1 Texas Administrative Code Chapter 213.

  • Abuse Investigation and Protective Services means reporting and investigation activities as required by OAR 407-045-0300 and any subsequent services or supports necessary to prevent further abuse as required by OAR 407-045-0310.

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Chinese Medicine Practitioner means a Chinese medicine practitioner who is duly registered with the Chinese Medicine Council of Hong Kong pursuant to the Chinese Medicine Ordinance (Cap. 549) of the laws of Hong Kong, but excluding the Insured Person, the Policyholder, an insurance intermediary, an employer, employee, Immediate Family Member or business partner of the Policyholder and/or Insured Person.

  • Sexual Exploitation and Abuse “(SEA)” means the following:

  • ABS Informational and Computational Material means any written communication as defined in Item 1101(a) of Regulation AB under the 1933 Act and the 1934 Act, as may be amended from time to time.

  • State implementation plan or “SIP” means the plan adopted by the state of Iowa and approved by the Administrator which provides for implementation, maintenance, and enforcement of such primary and secondary ambient air quality standards as they are adopted by the Administrator, pursuant to the Act.

  • Positive Behavioral Theory and Practice means a proactive approach to individual behavior and behavior interventions that:

  • Standard Methods for the Examination of Water and Wastewater means the most recent edition of Standard Methods for the Examination of Water and Wastewater published jointly by the American Public Health Association, the American Waterworks Association and the Water Environment Federation;

  • Objective medical evidence means reports of examinations or treatments; medical

  • Licensed Practical Nurse (LPN means a Practical Nurse who has completed a certificate program and passed the practical nurse licensure exam as required by the WY State Board of Nursing.

  • Qualified medical provider means the same as that term is defined in Section 26-61a-102.

  • Temporary Assistance for Needy Families-Unemployed Parent or "TANF-UP" means the Temporary Assistance for Needy Families program for families in which both natural or adoptive parents of a child reside in the home and neither parent is exempt from the Virginia Initiative for Employment Not Welfare (VIEW) participation under § 63.2-609.

  • Debilitating medical condition means one or more of the following:

  • Implement of husbandry means a vehicle that is designed for agricultural purposes and

  • psychiatric emergency medical condition means a Mental Disorder that manifests itself by acute symptoms of sufficient severity that it renders the patient as being either of the following:

  • Department of Health and Human Services means the Department of Health and Human Services

  • Respiratory care practitioner means a person who is

  • Biometric information means any information, regardless of how it is captured, converted, stored, or shared, based on an individual’s biometric identifier used to identify an individual. Biometric information does not include information derived from items or procedures excluded under the definition of biometric identifiers.

  • Confidential commercial or financial information means any business information (other than trade secrets) which is exempt from the mandatory disclosure requirement of the Freedom of Information Act, 5 U.S.C. 552. Exemptions from mandatory disclosure which may be applicable to business information contained in proposals include exemption (4), which covers “commercial and financial information obtained from a person and privileged or confidential,” and exemption (9), which covers “geological and geophysical information, including maps, concerning wells.”

  • Authorized medical physicist means an individual who:

  • Adult foster care means room and board, supervision, and special services to an adult who has a

  • Functional behavioral assessment means an individualized assessment of the student that results in a team hypothesis about the function of a student’s behavior and, as appropriate, recommendations for a behavior intervention plan.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.