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Managed Care Nursing

Category - Healthcare Management

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Which entity is responsible for reviewing processes related to sanctioning providers and provider utilization practices?

Hospital board of directors
Utilization review committee
Local or regional AMA
State utilization review organization (SURO)

Explanation

Answer: B - The utilization review committee is responsible for reviewing processes related to provider sanctioning and utilization practices.

This committee is also responsible for reviewing utilization policies and issues identified by the medical director.

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