Practice Quiz

Managed Care Nursing

Category - Healthcare Management

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Healthcare utilization management is best described as:
  1. A process used to determine the relevancy of medical treatment prior to service
  2. A process used to determine if care or medical treatment is necessary based on individual instances
  3. A retrospective review of cases and claims to gain medical management information
  4. A set of standards, processes and guidelines used to assess management of provider and medical resources
Explanation
Answer: D - Utilization management is best described as a set of standards, processes, and guidelines used to assess management of provider and medical resources.
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