This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: How does utilization management within the hospital setting differ from utilization management in ... (Read 25 times)

Engineer

  • Hero Member
  • *****
  • Posts: 527
on: Jul 12, 2018
How does utilization management within the hospital setting differ from utilization management in the ambulatory care setting?

Question 2

The main factor usually considered in choosing a coding system for ambulatory care is ___________________ _________________.
 a. what is easiest for the physicians
  b. what is required by third-party payers
  c. what is easiest for the coders
  d. what is required by the state health department


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

sultansheikh

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jul 12, 2018
Answer to Question 1

In the hospital setting, utilization management focuses on whether the patient requires hospitalization. In the ambulatory care setting, utilization management focuses on the necessity of a service such as referral to a specialist or the use of an expensive procedure.

Answer to Question 2

b. what is required by third-party payers


Engineer

  • Member
  • Posts: 527
Reply 2 on: Jul 12, 2018
Thanks for the timely response, appreciate it

CAPTAINAMERICA

  • Member
  • Posts: 325
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

Essential fatty acids have been shown to be effective against ulcers, asthma, dental cavities, and skin disorders such as acne.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Metabolic rates of animals that differ in size. Metabolic rates of animals that differ in size.
A general hospital A general hospital
Metabolic reactions involving synthesis, interconversion, and utilization of one-carbon adducts of t Metabolic reactions involving synthesis, interconversion, and utilization of one-carbon adducts of t
Fundamentals of Management: Essential Concepts and Applications Fundamentals of Management: Essential Concepts and Applications
MANAGEMENT ACCOUNTING MANAGEMENT ACCOUNTING
International Business Management International Business Management
Video: Effect of the environment on coat color in the Himalayan rabbit Animation

For a complete list of videos, visit our video library