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. 1998 Sep-Oct;12(5):375-82; discussion 382-3.

Legal basis and interpretations of medical necessity

P M Kazon  1
Affiliations
  • PMID: 10185017

Legal basis and interpretations of medical necessity

P M Kazon. Clin Lab Manage Rev. 1998 Sep-Oct.

Abstract

This article examines the legal issues surrounding medical necessity in Medicare reimbursement. The author reviews how the Health Care Financing Administration has defined medical necessity for laboratory testing and the role of the laboratory and the laboratory manager in ensuring medical necessity.

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