Prospective utilization review is:
A) Decisions that are being made during the actual course of service such as additional surgery.
B) An evaluation of services once the services have been provided.
C) Examines specific provider patterns of practice.
D) Implemented before the service is actually performed by having the procedure authorized by the MCO.
Correct Answer:
Verified
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Q18: A fee for service (FFS)system was the
Q20: Managed care refers to the cost management
Q21: When Medicare pays pay a premium per
Q22: Since the late 1980s, which organization has
Q23: Medicare cost plans are:
A)A type of HMO
B)A
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A)They are healthcare
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