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Medical Necessity
Medical necessity is a legal doctrine in the United States related to activities that may be justified as reasonable, necessary, and/or appropriate based on evidence-based clinical standards of care. In contrast, unnecessary health care lacks such justification. Other countries may have medical doctrines or legal rules covering broadly similar grounds. The term clinical medical necessity is also used. Implementations of doctrine Medicare Medicare pays for medical items and services that are "reasonable and necessary" or "appropriate" for a variety of purposes. By statute, Medicare may pay only for items and services that are "reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member" unless there is another statutory authorization for payment. Medicare has a number of policies that describe coverage criteria, including National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), ...
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Legal Doctrine
A legal doctrine is a framework, set of rules, Procedural law, procedural steps, or Test (law), test, often established through precedent in the common law, through which judgments can be determined in a given legal case. A doctrine comes about when a judge makes a ruling where a process is outlined and applied, and allows for it to be Case law, equally applied to like cases. When enough judges make use of the process, it may become established as the ''de facto'' method of deciding like situations. Examples Examples of legal doctrines include: See also * Constitutionalism * Constitutional economics * Concept * Rule according to higher law * Legal fiction * Legal precedent * ''Ex aequo et bono'' References External links * *Pierre Schlag and Amy J. Griffin, "How to do Things with Legal Doctrine" (University of Chicago Press 2020) * Emerson H. Tiller and Frank B. Cross,What is Legal Doctrine?
" ''Northwestern University Law Review'', Vol. 100:1, 2006. Legal doctrines ...
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United States V
United may refer to: Places * United, Pennsylvania, an unincorporated community * United, West Virginia, an unincorporated community Arts and entertainment Films * ''United'' (2003 film), a Norwegian film * ''United'' (2011 film), a BBC Two film Literature * ''United!'' (novel), a 1973 children's novel by Michael Hardcastle Music * United (band), Japanese thrash metal band formed in 1981 Albums * ''United'' (Commodores album), 1986 * ''United'' (Dream Evil album), 2006 * ''United'' (Marvin Gaye and Tammi Terrell album), 1967 * ''United'' (Marian Gold album), 1996 * ''United'' (Phoenix album), 2000 * ''United'' (Woody Shaw album), 1981 Songs * "United" (Judas Priest song), 1980 * "United" (Prince Ital Joe and Marky Mark song), 1994 * "United" (Robbie Williams song), 2000 * "United", a song by Danish duo Nik & Jay featuring Lisa Rowe Television * ''United'' (TV series), a 1990 BBC Two documentary series * ''United!'', a soap opera that aired on BBC One from 1965-19 ...
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University Of Minnesota Press
The University of Minnesota Press is a university press that is part of the University of Minnesota. It had annual revenues of just over $8 million in fiscal year 2018. Founded in 1925, the University of Minnesota Press is best known for its books in social theory and cultural theory, critical theory, race and ethnic studies, urbanism, feminist criticism, and media studies. The University of Minnesota Press also publishes a significant number of translations of major works of European and Latin American thought and scholarship, as well as a diverse list of works on the cultural and natural heritage of the state and the upper Midwest region. Journals The University of Minnesota Press's catalog of academic journals totals thirteen publications: *''Buildings & Landscapes: Journal of the Vernacular Architecture Forum'' *''Critical Ethnic Studies'' *''Cultural Critique'' *''Environment, Space, Place'' *''Future Anterior'' *''Journal of American Indian Education'' *'' Mechademia: Secon ...
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Public Administration Review
''Public Administration Review'' is a bimonthly peer-reviewed academic journal the field of public administration. It was established in 1940 and has been one of the top-rated journals in the field. It is the official journal of the American Society for Public Administration and is published by Wiley-Blackwell. The editor-in-chief Jeremy L. Hall University of Central Florida. From 2018 to 2020, he served as the co-editor-in-chief alongside of R. Paul Battaglio. According to the ''Journal Citation Reports'', the journal has a 2019 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 4.063, ranking it 4th out of 48 journals in the category "Public Administration". Editors-in-chief The following persons have been editors-in-chief: See also * List of public administratio ...
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Robert Ehrlich
Robert Leroy Ehrlich Jr. (born November 25, 1957) is an American lawyer and politician who served as the 60th Governor of Maryland from 2003 to 2007. A Republican, Ehrlich represented Maryland's United States House of Representatives, Maryland District 2, 2nd Congressional district in the United States House of Representatives, U.S. House of Representatives from 1995 to 2003. Before that, he was a member of the Maryland House of Delegates. In 2006 Maryland gubernatorial election, 2006, Ehrlich was defeated in his bid for re-election by Democrat Martin O'Malley. In 2010 Maryland gubernatorial election, 2010, Ehrlich sought an unsuccessful rematch against O'Malley. Ehrlich then announced, via his website, that he would "return to private life." In October 2011, he was named chair of Mitt Romney's Maryland campaign for the Republican Party (United States) presidential primaries, 2012, 2012 Republican nomination for President. Early life, career, and family Ehrlich was born in the ...
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Maryland
Maryland ( ) is a state in the Mid-Atlantic region of the United States. It shares borders with Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware and the Atlantic Ocean to its east. Baltimore is the largest city in the state, and the capital is Annapolis. Among its occasional nicknames are '' Old Line State'', the ''Free State'', and the '' Chesapeake Bay State''. It is named after Henrietta Maria, the French-born queen of England, Scotland, and Ireland, who was known then in England as Mary. Before its coastline was explored by Europeans in the 16th century, Maryland was inhabited by several groups of Native Americans – mostly by Algonquian peoples and, to a lesser degree, Iroquoian and Siouan. As one of the original Thirteen Colonies of England, Maryland was founded by George Calvert, 1st Baron Baltimore, a Catholic convert"George Calvert and Cecilius Calvert, Barons Baltimore" William Hand Browne, ...
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Ninth Circuit Court Of Appeals
The United States Court of Appeals for the Ninth Circuit (in case citations, 9th Cir.) is the U.S. federal court of appeals that has appellate jurisdiction over the U.S. district courts in the following federal judicial districts: * District of Alaska * District of Arizona * Central District of California * Eastern District of California * Northern District of California * Southern District of California * District of Hawaii * District of Idaho * District of Montana * District of Nevada * District of Oregon * Eastern District of Washington * Western District of Washington The Ninth Circuit also has appellate jurisdiction over the territorial courts for the District of Guam and the District of the Northern Mariana Islands. Additionally, it sometimes handles appeals that originate from American Samoa, which has no district court and partially relies on the District of Hawaii for its federal cases.https://www.gao.gov/products/GAO-08-1124T GAO (U.S. Government Accountabili ...
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Gonzales V
Gonzales may refer to: Places * Gonzales, California, U.S. * Gonzales, Louisiana, U.S. * Gonzales, Texas, U.S. * Gonzales County, Texas Other uses * Battle of Gonzales, 1835 * Gonzales (horse) (1977 – after 1996), an American-bred Thoroughbred racehorse * Gonzales (surname) * Gonzales v. Raich * Speedy Gonzales, animated cartoon character in the Warner Brothers ''Looney Tunes'' See also * * * Spanish surname González (surname), also known as Gonzales * Gonçalves, Portuguese equivalent of Gonzalez (Spanish surname) * Gonsales, Portuguese variation of Gonzalez (Spanish surname) * Gonsalves, English language variation of Gonçalves * Gonzalez (other) Gonzalez or González may refer to: People * González (surname) Places * González, Cesar, Colombia * González Municipality, Tamaulipas, Mexico * Gonzalez, Florida, United States * González Island, Antarctica * González Anchorage, Antarct ...
{{disambiguation, geo ...
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Imprison
Imprisonment is the restraint of a person's liberty, for any cause whatsoever, whether by authority of the government, or by a person acting without such authority. In the latter case it is "false imprisonment". Imprisonment does not necessarily imply a place of confinement, with bolts and bars, but may be exercised by any use or display of force (such as placing one in handcuffs), lawfully or unlawfully, wherever displayed, even in the open street. People become prisoners, wherever they may be, by the mere word or touch of a duly authorized officer directed to that end. Usually, however, imprisonment is understood to imply an actual confinement in a jail or prison employed for the purpose according to the provisions of the law. Sometimes gender imbalances occur in imprisonment rates, with incarceration of males proportionately more likely than incarceration of females. History Africa Before colonisation, imprisonment was used in sub-Saharan Africa for pre-trial detention, ...
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Prosecute
A prosecutor is a legal representative of the prosecution in states with either the common law adversarial system or the civil law inquisitorial system. The prosecution is the legal party responsible for presenting the case in a criminal trial against an individual accused of breaking the law. Typically, the prosecutor represents the state or the government in the case brought against the accused person. Prosecutor as a legal professional Prosecutors are typically lawyers who possess a law degree, and are recognised as suitable legal professionals by the court in which they are acting. This may mean they have been admitted to the bar, or obtained a comparable qualification where available - such as solicitor advocates in England and Wales. They become involved in a criminal case once a suspect has been identified and charges need to be filed. They are employed by an office of the government, with safeguards in place to ensure such an office can successfully pursue the pro ...
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Arrest
An arrest is the act of apprehending and taking a person into custody (legal protection or control), usually because the person has been suspected of or observed committing a crime. After being taken into custody, the person can be questioned further and/or charged. An arrest is a procedure in a criminal justice system, sometimes it is also done after a court warrant for the arrest. Police and various other officers have powers of arrest. In some places, a citizen's arrest is permitted; for example in England and Wales, any person can arrest "anyone whom he has reasonable grounds for suspecting to be committing, have committed or be guilty of committing an indictable offence", although certain conditions must be met before taking such action. Similar powers exist in France, Italy, Germany, Austria and Switzerland if a person is caught in an act of crime and not willing or able to produce valid ID. As a safeguard against the abuse of power, many countries require that ...
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Police Raid
A police raid is an unexpected visit by police or other law-enforcement officers with the aim of using the element of surprise in order to seize evidence or arrest suspects believed to be likely to hide evidence, resist arrest, be politically sensitive, or simply be elsewhere during the day. Overview and methods The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) defines a raid as "a sudden appearance by officers for the purpose of arresting suspected law violators and seizing contraband and the means and instruments used in the commission of a crime." Types Pre-dawn raid A pre-dawn raid is a SWAT tactic that involves police, right before sunrise, raiding a location in order to gain an upper hand in combat, retrieve an important document or file, or capture a specific person. There may be a hostage of high political influence or a dangerous person that poses a threat to the police. Pre-dawn raids usually occur during the early morning (usually between one a ...
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