Anticlue

Medical Necessity Checking

According to a survey of 123 hospitals, published in HCPro Inc.'s Medical Records Briefing, 57 percent of hospitals stated that they check for medical necessity at registration, followed closely by 52 percent in the ancillary departments at the point-of-service. Only 17 percent reported checking medical necessity at the physician's office where the order or admit diagnosis is written. (Percentages add up to more than 100 percent because some hospitals check medical necessity in more than one location.)