Physicians and insurers often disagree on the definition and applicability of medical necessity standards. Based on this knowledge, in a post to the discussion, respond to the following: Why do you think this is such a volatile issue between them? Do the

| June 1, 2016


Physicians must practice appropriate medical management: They must provide the correct services for their patients to get better, given their existing conditions. They must also be able to demonstrate medical necessity for the services they provide.

For this assignment, you will participate in a discussion about the applicability of medical necessity standards in mental health environments, and differentiate between medical management and medical necessity.

When responding to the discussion questions, be sure to reference course materials to support your conclusions and opinions. You should also do the same whenever you respond to another person’s discussion post. By doing so, you not only make a stronger case, but support your own learning.

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