Canadian Health Information Management Association Practice Exam

This term refers to a medical service that is no longer deemed medically necessary and is removed from the list of insured services?

1. A controlled act.

2. A delegated service.

3. A delisted service.

4. A redundant act.

The correct answer is: A delisted service.

The term that accurately describes a medical service that is no longer considered medically necessary and has been removed from the list of insured services is "delisted service." When a service is delisted, it signifies that health authorities or insurance providers have evaluated the efficacy, necessity, or cost-effectiveness of that service and determined it should no longer be covered under health insurance plans. This decision can arise from changes in medical guidelines, evolving evidence, or shifts in healthcare priorities. Understanding this term is important in health information management as it impacts billing, patient care decisions, and the management of healthcare resources. Professionals in this field must be aware of which services are still covered to guide patients appropriately and manage healthcare finances effectively.