SAGE Reference - Encyclopedia of Human Services and Diversity

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Medical Necessity

By: Stacey A. Passalacqua
In: Encyclopedia of Human Services and Diversity
Edited by: Linwood H. Cousins
Subject:Community Mental Health
Keywords:denial; health plans; insurance; Medicare; patients; physicians; reimbursement

Though the function of medical necessity in the current health care system as a determinant of claims reimbursement is understood, consensus is lacking when it comes to defining and, thus, setting an agreed-upon criteria for this construct. Various government and medical ...

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  Passalacqua, S. (2014). Medical necessity. In L. H. Cousins (Ed.), Encyclopedia of human services and diversity (Vol. 1, pp. 831-832). SAGE Publications, Inc., https://dx.doi.org/10.4135/9781483346663.n356
  
  Passalacqua, Stacey A. "Medical Necessity." In Encyclopedia of Human Services and Diversity, edited by Cousins, Linwood H., 831-32. Thousand Oaks, CA: SAGE Publications, Inc., 2014. https://dx.doi.org/10.4135/9781483346663.n356.
  
  Passalacqua, S. 2014. Medical Necessity. In: Linwood H. Cousins Editor, 2014. Encyclopedia of Human Services and Diversity, Thousand Oaks, CA: SAGE Publications, Inc. pp. 831-832 Available at: <https://dx.doi.org/10.4135/9781483346663.n356> [Accessed 28 May 2022].
  
  Passalacqua, Stacey A. "Medical Necessity." Encyclopedia of Human Services and Diversity. Edited by Linwood H. Cousins. Vol. 1. Thousand Oaks: SAGE Publications, Inc., 2014, pp. 831-32. SAGE Knowledge. 28 May 2022, doi: https://dx.doi.org/10.4135/9781483346663.n356.
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