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Medical necessity is an insurance term under Medicare.  As a Medicare provider I am required to follow the medical necessity guidelines which means I must determine that the “patient will make significant progress in reasonable time.”  The goals must also relate to daily activities and not necessarily quality or enjoyment of life or sports.  As I mentioned before, just “fixing” the current dysfunction and being “discharged”, may actually be a disservice.  When the “problem” is fixed the real work of attaining your real optimal function can begin.

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