The prior January 2021 Final Rule codified a regulatory definition of "reasonable and necessary" which implemented standards for making determinations under Section 1862(a)(1)(A) of the Social ...

Although Centers for Medicare & Medicaid Services (CMS) finalized its regulatory definition of reasonable and necessary through its recently published Final Rule, the Final Rule has now become subject ...

CMS issued a final rule Jan. 12 that updates the agency’s definition of “reasonable and necessary” coverage for services that fall under Medicare Parts A and B. The agency said codifying the ...

Physicians use different definitions of "reasonable medical certainty" when testifying as expert witnesses in child abuse cases. The variability is troubling because it could result in flawed rulings, ...