Sorry — I don’t know how I messed up, my post 36 was not meant for you.
No problem - actually Medicare, Medicaid and probably most third party payers have had requirements for decades that all care provided be “medically necessary” - hospitals and other providers have all sorts of policies and personnel dedicated to make sure that their documentation reflects this so that when outside inspectors from such organizations come around they can prove the appropriateness of care, else they don’t get paid, and maybe even get fined - hundreds of millions and probably billions spent yearly on paper work and reviews only vaguely related to actual patient care - my guess is that the money wasted on such empty efforts probably is more than would be spent on useless medical procedures if third parties stopped looking over the docs’ shoulders - so the no pay if not mandated part isn’t new - only the drive to make fewer and fewer procedures mandated......