Medically necessary service definition

Medically necessary service means a medical, surgical, or other services required for the prevention, diagnosis, cure, or treatment of a health- related condition including any such services that are necessary to slow or prevent a decremental change in medical and/or mental health status.

Medically necessary service means that:

Medically necessary service means a covered service that, in a manner consistent with accepted standards of medical practice, is reasonably expected to:

Examples of Medically necessary service in a sentence

• Topic #3869 ModifiersThe following are allowable modifiers for enteral nutrition products that should be indicated on PA (prior authorization) requests and claims: ● BO — Orally administered nutrition, not by feeding tube.● SC — Medically necessary service or supply.

• Topic #3869 ModifiersThe following are allowable modifiers for enteral nutrition products that should be indicated on PA (prior authorization) requests and claims: ● BO — Orally administered nutrition, not by feeding tube● SC — Medically necessary service or supply Providers are required to indicate modifier BO on PA requests and claims for enteral nutrition products taken orally.

• IS AMENDED TO READ AS FOLLOWS: 405 IAC 5-2-17 "Medically necessary service" definedAuthority: IC 12-15-1-10; IC 12-15-1-15; IC 12-15-21-2 Affected: IC 12-13-7-3; IC 12-15 Sec.

• Topic #3869 ModifiersThe following are allowable modifiers for enteral nutrition products that should be indicated on PA (prior authorization) requests and claims: Š BO — Orally administered nutrition, not by feeding tubeŠ SC — Medically necessary service or supply Providers are required to indicate modifier BO on PA requests and claims for enteral nutrition products taken orally.

• Topic #3869 ModifiersThe following are allowable modifiers for enteral nutrition products that should be indicated on PA (prior authorization) requests and claims: ⚫ BO — Orally administered nutrition, not by feeding tube⚫ SC — Medically necessary service or supply Providers are required to indicate modifier BO on PA requests and claims for enteral nutrition products taken orally.

More Definitions of Medically necessary service

Medically necessary service means a covered dental service, requested by specialty care referral, which is: (1) adequate, appropriate and essential for the evaluation, diagnosis and treatment of a dental condition or disease; and (2) consistent with nationally accepted standards of practice.

Medically necessary service means a service or treatment that is absolutely necessary to treat or diagnose a patient and could adversely affect the patient’s condition, illness or injury if it were omitted, and the service or treatment is not considered an elective or cosmetic surgery service or treatment.

Medically necessary service. , as used in this document, means a covered service that, in a manner consistent with accepted standards of medical practice, is reasonably expected to:

Medically necessary service means a health care item or service which a Provider determines to be both reasonable and necessary to diagnose or treat an illness, injury, condition, disease or symptom of a Participant which is consistent with accepted standards of medicine.

Medically necessary service means any inpatient or outpatient service, including pharmaceuticals or supplies provided by the hospital to a patient covered under Title XVII of the Federal Social Security Act for beneficiaries with the same clinical presentation as the uninsured patient. A Medically Necessary service does not include: (1) non-medical services such as social or vocational services; (2) Elective self-pay packages as defined by Self-Pay Package policies, or(3) elective cosmetic surgery (exclusive of plastic surgery designed to correct disfigurement cause by injury, illness or congenital defect or deformity).

Medically necessary service as used in this title means a covered service (as defined in section 6 of this rule[3]) that is required for the care or well-being of the patient and is provided in accordance with generally accepted standards of medical or professional practice. For a service to be reimbursable by the office, it must:

Medically necessary service means a service or