Medicare’s Definition of Medical Necessity Every payer has a definition of medical necessity and Medicare is no exception. Medicare Administrative Contractors (MACs) release a Local Coverage Determination (LCD) where they provide healthcare professionals of all specialties their rules and definitions so they can determine if the care they are providing to their patients is payable….

Your level of membership doesn’t include access to this training. It's reserved for members of our Library and we'd love to help you gain access to it. Please reach out to the HelpDesk to learn more about accessing these materials. Click here to learn more.