A common process used by many healthcare payers to monitor and control healthcare costs by prior evaluation and necessity of most hospitalizations and certain medical services.
A) Appeal
B) Grievance
C) Equalization
D) Preauthorization
Correct Answer:
Verified
Q2: A multispecialty practice in which healthcare services
Q3: A specific provider who oversees the total
Q4: A healthcare provider trained in a particular
Q5: An advantage of managed care organizations (MCOs)is
Q6: Individuals who are members of a managed
Q8: In which type of managed care organization
Q9: An independent nonprofit organization that measures,assesses,and reports
Q10: Which federal act,passed in 1996,is intended to
Q11: A specific provider who oversees the entire
Q12: Managed care is a healthcare system where
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