For a Service to Be Considered Medically Necessary by Medicare

question 4

Multiple Choice

For a service to be considered medically necessary by Medicare, which of the following criteria must be met?

• A) It is delivered at the most appropriate level.
• B) It is an elective procedure.
• C) It is an investigational procedure.
• D) It is performed for the patient's convenience.

---

Definitions:

Organizational Change

The process through which a company or organization undergoes a transformation in its structure, strategies, operational methods, or culture.

Force Field Analysis

A management technique developed by Kurt Lewin, used for decision-making and problem-solving, which analyzes forces for and against a change.

Driving Forces

Elements or factors that influence change within an organization or system, propelling it towards a specific direction.

Break Old Routines

The act of changing established habits or patterns of behavior to improve outcomes or adapt to new circumstances.