Practice Quiz

Managed Care Nursing

Category - Healthcare Management

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A case manager in the hospital admissions office has been charged with assisting in the emergency room during influenza season. The objective is to review medical information at the point of admission to assist in determining medical necessity and appropriate level of care during this high-demand season.

What type of process is this?
  1. Admission utilization management
  2. Preadmission utilization review
  3. Admission utilization review
  4. Admission case management
Explanation
Answer: C - An admission utilization review (UR) occurs at the time of admission and is used to assist in determining medical necessity and appropriate level of care.
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