What is an organization hired by a payer to evaluate medical necessity called?
A) exploitation review organization
B) utilization review organization
C) application review organization
D) operation review organization
Correct Answer:
Verified
Q39: The payer's process for determining medical necessity
Q40: When the practice decides to participate in
Q41: What is protection against large losses or
Q42: Nonemergency surgical procedure is called _.
A) discretionary
Q43: What determines whether a participating provider can
Q45: _ is preauthorization for hospital admission or
Q46: Another term for precertification is _.
A) pre-documentation
B)
Q47: A document of eligible members of a
Q48: Who sends the claim to the BlueCross
Q49: Who sends the claim to BlueCross and
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents