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Managed Care Nursing

Category - Overview

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Which term refers to obtaining prior approval by the MCO in order to admit a member into a hospital for treatment, care, testing, or surgery?

Pre-admit approval
Preauthorization
Authorization
Pre certification
Preadmission certification

Explanation

Answer: E - Preadmission certification is the process of obtaining prior approval by the MCO for admissions, treatment, care, testing, or surgery.

This is a process based on specified criteria.

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