What does ‘medically unreasonable and unnecessary’ mean? Medicare doesn’t pay for “medically unreasonable and unnecessary services and supplies to diagnose and treat a Medicare patient’s condition,” according to CMS [4]. Here are a few examples of what CMS considers medically unreasonable and...
What is a Medically Necessary Service? According to healthcare.gov, the definition of medically necessary is as follows: “Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms that meet accepted standards of medicine.” Thus, if ...
A slightly higher target of 140 to 150 mm Hg is considered acceptable only for individuals aged 80 or older, or for those who are medically frail, to minimize the risk of side effects from overtreatment. Regardless, it remains essential to consult a healthcare professional for personalized blood...
Wash your face 2 times a day with a mild soap that does not have perfume. Do not rub your skin hard with a wash cloth, because it may irritate your skin and make your acne worse. Ask your healthcare provider for directions on how to clean your skin if you have body acne. Use wate...
Medically reviewedby Drugs.com. Last updated on May 4, 2025. What is opioid use disorder (OUD)? OUD is a medical condition that develops from long-term use or misuse of an opioid. You are not able to stop taking the opioid even though it causes physical or social problems. OUD may be...
Does my doctor ask relevant questions and based on my answers and a thorough physical exam consider multiple possibilities before narrowing down to a diagnosis? Is my doctor willing and able to adjust their diagnosis or approach to treatment if there are any changes in my condition or ...
Ruptured membranes.Fluid gushing or leaking from thevaginameans the membranes of the amniotic sac that surrounded and protected your baby have ruptured. This can occur hours before labor starts or during labor. Most women go into labor within 24 hours. If labor does not occur naturally during th...
Do I need any other tests before treatment? What risk group does my MDS type fall into? What is my prognosis? How do I find a doctor who specializes in MDS? Are there any other medical providers I might need to see? Are there other factors that could affect my treatment and prognosis...
Years of successful wear does not mean that you cannot suddenly encounter problems with your contact lenses. Contact lenses are a foreign body, so it is only natural that your immune system might see these corrective lenses as intruders and as a result, increase its production of white blood ...
Lightening doesn't mean labor is about to happen, though! Carrying your baby lower isn't a sign that you're about to go into labor, nor does carrying your baby higher mean that labor is far off. Usually a baby's head enters the pelvis first, but if the baby isbreech, their butt ...