For a service to be considered medically necessary by Medicare, which of the following criteria must be met?

Question

Quizplus · Accepted Answer

Medicare considers a service to be medically necessary if it is delivered at the most appropriate level of care necessary to diagnose or treat the patient's condition. Elective procedures, investigational procedures, and procedures performed for the patient's convenience are not considered medically necessary.

For a Service to Be Considered Medically Necessary by Medicare