​The AMA Defines Medical Necessity as Services or Procedures That

question 55

Multiple Choice

​The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent,diagnose,or treat an illness,injury,or disease or the associated symptoms in a manner that is:

• A) ​in accordance with the generally accepted standard of medical practice
• B) ​clinically appropriate in terms of frequency,type,extent,site,and duration
• C) ​not for the intended economic benefit of the health plan or purchaser or the convenience of the patient,physician,or other health care provider
• D) ​all of the above

---

Definitions:

Therapeutic Immobilization

A medical treatment approach that involves restricting movement to promote healing or reduce pain.

Active Movement

Physical movement initiated and controlled by an individual, often involving exercise or other physical activity to enhance or maintain physical fitness.

Strengthening Joints

Exercises or activities aimed at improving the function and stability of joints, often to reduce pain or injury risk.

Thrombus Formation

The process of blood clotting within a vessel, which can obstruct blood flow and lead to various health complications.