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Managed Care Nursing

Category - Healthcare Management

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Healthcare utilization review is best described as:

A process used to determine the relevancy of medical treatment prior to service
A process used to determine if care or medical treatment is based on individual instances
A retrospective review of cases and claims to gain medical management information

Explanation

Answer: A - Healthcare utilization is a process used to determine the relevancy of medical treatment prior to service.

The purpose is to safeguard against unnecessary or inappropriate care.

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Managed Care Nursing

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Managed Care Nursing

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