Prospective utilization review includes
A) precertification
B) discharge planning
C) review of medical records
D) efforts to reduce length of stay
Correct Answer:
Verified
Q10: Discounted fees are
A)discounted capitated fees
B)used to shift
Q11: An experienced health care professional, such as
Q12: In the term, managed care, 'manage' refers
Q13: Which of the following is not used
Q14: Closed-panel plan.
A)No new physicians can be added
Q16: Gatekeeping _ secondary care services.
A)bypasses
B)encompasses the delivery
Q17: What is the purpose of risk sharing
Q18: Concurrent UR in a hospital will be
Q19: Gatekeeping heavily depends on the services of
Q20: Cost-effective management of care for patients who
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