“Reasonable and necessary” is a key principle in Medicare and Medicaid reimbursement.
“Reasonable and necessary” is a
phrase used constantly by providers and the government.
“Reasonable and necessary” has
never been fully defined, other than “you should know, ok?”
The federal government is using this
standard to bring false claims and anti-kickback cases against
providers.
More commentary will follow.
2 comments:
The only thing necessary for the triumph of evil is for good men to do nothing. See the link below for more info.
#necessary
www.ufgop.org
Oh! So the standard has changed from reasonable and customary while I was not paying attention. I suppose customary is not always necessary, but my insurer paid at unreasonable and penurious rate.
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