The first recorded spelling of the family name is shown to be that of John de Ascheton, which was dated 1273, in the Hundred Rolls of Somerset, during the reign of King Edward 1, known as The Hammer of the Scots, 1272 - 1307.Surnames became necessary when governments introduced personal taxation.he first recorded spelling of the family name is shown to be that of John de Ascheton, which was dated 1273, in the Hundred Rolls of Somerset, during the reign of King Edward 1, known as The Hammer of the Scots, 1272 - 1307.
First, the major definitions of health literacy are presented in a brief overview. Then, the concepts of obtaining, processing/understanding, and using information serve as a working framework for discussing both the challenges of low health literacy and strategies to address low health literacy.
1. Determinations of medical necessity must adhere to the standard of care that applies to the actual direct care and treatment of the patient. 2. Medical necessity is the standard terminology that all health care professionals and entities will use in the review process when determining if medical care is appropriate and essential. 3. Determinations of medical necessity must reï¬ect the efï¬cient and cost-effective application of patient care