Utilization reviews by a nurse or doctor who report to a managed care organization mean
A) managed care organizations (MCOs) analyze individual hospital stays to effectively check the charges and services of hospitals and physicians once a patient is admitted for care.
B) managed care organizations are inefficient.
C) managed care organizations encourage hospitals to extend the number of days a patient is in the hospital.
D) managed care organizations fail to explain why some individuals are outliers in terms of cost and services provided.
E) physicians are happy to provide extra service at no cost to hospitals.
Correct Answer:
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