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  2. Medical necessity - Wikipedia

    en.wikipedia.org/wiki/Medical_necessity

    The use of cannabis (also known as marijuana) for medical purposes is a notable medical necessity case. Cannabis is a plant whose active ingredients are widely reported by patients to be effective in pain control for various conditions, usually neuropathic in nature, in which common painkillers have not had great benefit.

  3. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  4. Certificate of medical necessity - Wikipedia

    en.wikipedia.org/wiki/Certificate_of_medical...

    Physician's News Digest article on Certificates of Medical Necessity; Statutory definition of a CMN at the SSA website; Medicare manual that provides exhaustive information about the practical use of CMNs, particularly section 5.3. This is the official source of information for contractors administering the Medicare system about the use of CMNs.

  5. Certificate of need - Wikipedia

    en.wikipedia.org/wiki/Certificate_of_need

    [1] [2] [3] Certificates of need are necessary for the construction of medical facilities in 35 states and are issued by state health care agencies: The certificate-of-need requirement was originally based on state law. New York passed the first certificate-of-need law in 1964, the Metcalf–McCloskey Act.

  6. Emergency Medical Treatment and Active Labor Act - Wikipedia

    en.wikipedia.org/wiki/Emergency_Medical...

    An emergency medical condition (EMC) is defined as "a condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in placing the individual's health [or the health of an unborn child] in serious jeopardy, serious ...

  7. Clinical and Laboratory Standards Institute - Wikipedia

    en.wikipedia.org/wiki/Clinical_and_Laboratory...

    CLSI provides direct assistance in Sub-Saharan Africa to combat HIV/AIDS and other infectious diseases. With grants from the US-based PEPFAR (President's Emergency Plan for AIDS Relief) program administered by a cooperative agreement from the Centers for Disease Control and Prevention (CDC) and the National Institute of Allergy and Infectious Diseases (NIAID), CLSI has been actively involved ...

  8. Medical eligibility criteria for contraceptive use - Wikipedia

    en.wikipedia.org/wiki/Medical_Eligibility...

    However, people with medical conditions may need to have contraceptive options tailored around their specific needs. [1] Resources exist for patients and providers to help tailor methods. One example of a resource is the Medical Eligibility Criteria for Contraceptive Use (MEC), [2] [3] which exists in multiple formats.

  9. ICMJE recommendations - Wikipedia

    en.wikipedia.org/wiki/ICMJE_recommendations

    The ICMJE recommendations (full title, "Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals") are a set of guidelines produced by the International Committee of Medical Journal Editors for standardising the ethics, preparation and formatting of manuscripts submitted to biomedical journals for publication. [1]