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Managed Care Nursing

Category - Healthcare Management

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A case manager in the hospital has been asked to review charts and medical treatments on patients admitted to the ICU who have been inpatients for seven or more days to determine quality, appropriate and necessary care.

What type of process is this called?

Admission utilization review
Concurrent utilization management
Ongoing case management
Concurrent utilization review

Explanation

Answer: D - Concurrent utilization review (UR) includes a review of charts and medical treatments on patients currently admitted in order to determine quality, appropriate and necessary care.

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Managed Care Nursing

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Managed Care Nursing

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