Green Spring Criteria for Medical Necessity of Outpatient Treatment and Its Use in a Mental Health Utilization Review ProgramGreen Spring Criteria for Medical Necessity of Outpatient Treatment and Its Use in a Mental Health Utilization Review Programdoi:10.1177/0885713x9200700206The...
Many of the claim determinations made by Medicare contractors on a dayto-day basis involve the application of national or local coverage determinations (" NCD" s or" LCD" s), statements of national or local policy that describe whether and under what circumstancesPerling, Lester Jhealth law...
Medical Necessity in Private Health Plans: Implications for Behavioral Health Care Medical necessity in private health plans: implications for behavioral health care. DHHS Pub. No. (SMA) 03-3790. Rockville (MD): Center for Mental Health Services, Substance Abuse and Mental Health Services Administrat...
For the items addressed in this medical policy, the criteria for "reasonable and necessary" are defined by the following indications and limitations of coverage and/or medical necessity. For an item to be covered by Medicare a written signed and dated order must be received by the supplier ...
However, it is pivotal to note that the global CDR plus NACC FTLD, while instrumental in defining a stage of the disorder, does not inherently provide the tools to discriminate between early-stage FTD patients and healthy controls, underscoring the necessity of comprehensive, multidimensional ...
McShane LM, Hayes DF: Publication of tumor marker research results: The necessity for complete and transparent reporting. J Clin Oncol. 2012, 30: 4223-4232. 10.1200/JCO.2012.42.6858. Article PubMed PubMed Central Google Scholar Simon RM, Paik S, Hayes DF: Use of archived specimens in eva...
CONCLUSION : Clinical spine clearance criteria were useful both for judging the necessity of pre-hospital spine immobilization and for predicting spinal injuries. If these criteria can be applied to the emergency medical service system of Korea, it will contribute to the performing of appropriate ...
Clinical review criteria means the written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by a health carrier to determine the necessity and appropriateness of health care services. Board-Established Criteria means criteria that the Board of a Regulated Fund may...
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The necessity for antibiotic prophylaxis in patients with chronic GVHD remains controversial. However, some centers follow The American Heart Association's protocol for prevention of bacterial endocarditis [27]. Extended antibiotic therapy should be determined by the transplantation physician based on the ...