Question

What does Mandatory Second Surgical Opinion refer to?

1) Submitting claim information prior to treatment
2) Determining in advance if the procedure is covered
3) Precertification
4) Covering the cost of a second surgery

Answer 1

Mandatory Second Surgical Opinion is the requirement to get a second physician's opinion before undergoing certain surgeries, verifying the necessity and avoiding unnecessary procedures.

Step-by-step explanation:

Mandatory Second Surgical Opinion refers to a requirement by some health insurance plans where a patient must obtain an opinion from a second physician before undergoing certain surgical procedures. This is done to ensure that the surgery is necessary and to help prevent unnecessary procedures. It is not related to submitting claim information prior to treatment, determining in advance if a procedure is covered, precertification for medical services, or covering the cost of a second surgery. The practice confirms the necessity of surgery and can include checks to ensure that preventive measures, such as prophylactic antibiotics, are administered 60 minutes before an incision is made or affirm that antibiotics are not indicated. It also involves ensuring that all essential imaging results for the correct patient are displayed in the operating room.