Criteria or guidelines for what is determined to be reasonable and necessary for a particular medical service are known as ____.
A)good documentation
B)charge description master
C)medical necessity
D)department number

Question

Quizplus · Accepted Answer

Criteria or guidelines determining what is reasonable and necessary for a particular medical service are typically referred to as medical necessity criteria. Good documentation and charge description masters (CDMs) are related but different elements of healthcare billing and coding practices. Department numbers are used to indicate specific service areas within a hospital or healthcare organization.

Criteria or Guidelines for What Is Determined to Be Reasonable