Question

What needs to be included for Medicare Advantage documentation to prove medical necessity? a) Patient's age

b) Insurance coverage
c) Documentation of medical conditions
d) None of the above

Answer 1

Documentation of medical conditions needs to be included for Medicare Advantage documentation to prove medical necessity.

Step-by-step explanation:

To prove medical necessity for Medicare Advantage documentation, you need to include documentation of medical conditions. This includes medical records, test results, reports from healthcare providers, and any other relevant information that supports the need for the specific medical treatment or service. Patient's age and insurance coverage may be factors that are considered when determining medical necessity, but they are not the primary focus for documentation.