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

Author Question: The portion of a utilization review program that occurs prior to the medical procedure is called ... (Read 314 times)

wenmo

  • Hero Member
  • *****
  • Posts: 540
on: Jun 27, 2018
The portion of a utilization review program that occurs prior to the medical procedure is called the:
 
  a. preintent review.
  b. concurrent review.
  c. prospective review.
  d. retrospective review.

Question 2

When an insurance company reviews extra days that an insured remained in the hospital beyond the amount authorized by the precertification, it is called:
 
  a. an efficiency review.
  b. an extension review.
  c. a concurrent review.
  d. an effectiveness review.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bitingbit

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: c

Answer to Question 2

Answer: c


wenmo

  • Member
  • Posts: 540
Reply 2 on: Jun 27, 2018
Gracias!

brbarasa

  • Member
  • Posts: 308
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

A review of photosynthesis. A review of photosynthesis.
Sample of an informed consent to perform an operation, sedation, anesthesia, and other medical servi Sample of an informed consent to perform an operation, sedation, anesthesia, and other medical servi
Common Medical Abbreviations Common Medical Abbreviations
With the research technique called brainbow, each neuron is labeled with a different color, ... With the research technique called brainbow, each neuron is labeled with a different color, ...
Corbel Vault, Interior of Tholos, The So-called Treasury of Atreus Corbel Vault, Interior of Tholos, The So-called Treasury of Atreus
The Electronic Transmission and Storage of Medical Records The Electronic Transmission and Storage of Medical Records
Video: DNA Replication Factory and Protein

For a complete list of videos, visit our video library