Your mission, should you choose to accept it, is to confidently choose programs and write a rationale that meets medical necessity criteria. Click the image below to open your mission for this course.
Medical necessity is an agreement between a provider of services and a funder (insurance company). You must demonstrate medical necessity in your treatment plan to get it approved. Just because you see a need, does not mean that the insurance company is obligated to pay you to meet that need.
After taking this course, you will:
- List most common criteria required by insurance companies to meet medical necessity
- Choose skill acquisition programs that meet medical necessity criteria
- Write effective rationales for programs describing how they meet criteria
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Understanding Medical Necessity Discussion
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