Which statement best describes the meaning of 'medical necessity' in payer policy?

Which statement best describes the meaning of 'medical necessity' in payer policy?

• A. A service that is convenient for the provider's schedule
• B. A service that is experimental
• C. A payment limit based on patient age
• D. A justification that a service is appropriate and necessary for the patient’s diagnosis and condition and aligns with accepted standards

Answer: (D)