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[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.
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.
Medicare pays for medical items and services that are "reasonable and necessary" or "appropriate" for a variety of purposes. [1] By statute, Medicare may pay only for items and services that are "reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member" unless there is another statutory authorization for payment.
Lexington Medical Center is a medical complex in Lexington, SC.Lexington Medical Center is owned by Lexington County Health Service District, Inc., a private company. The network includes six community medical centers, an occupational health facility, the largest nursing home in the Carolinas, an Alzheimer's disease care center, and seventy physician practices in a variety of services.
Hundreds of North Carolina families are currently learning that Verizon has cleared their medical, financial, and other debts of necessity. The debt relief was implemented by ForgiveCo, whose “random acts of kindness” model purchases consumer debt in the affected areas, with no applications required, and notifies recipients through life ...
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 ...
Since then, the hospital has undergone multiple additions, including a $15 million, 15,000-square-foot addition in 2014 to enhance the pediatrics, medical surgery, and intensive care departments. [ 3 ] In 2021, the hospital added an additional 32 patient beds as part of a $14.5 million, 24,000 square foot expansion. [ 2 ]
The Regional Medical Center of Orangeburg & Calhoun Counties (or TRMC for short) is a 286-bed non-profit hospital in Orangeburg, South Carolina. It is owned and operated jointly by the counties of Orangeburg and Calhoun , governed by a 17-member board representing both counties. [ 1 ]