If a physician disagrees with a concurrent review and keeps the patient in the hospital longer, what is likely to happen with the insurance company?
a. The physician will be removed from participation in the insurance program.
b. The patient may be liable to pay out of pocket for the uncertified days.
c. The insurance company will have to reconsider their opinion.
d. The hospital will get involved to make sure the physician is paid.
Question 2
When a concurrent review determines that the patient no longer requires services, who determines when the patient will be discharged?
a. The physician
b. The plan administrator
c. The patient
d. The discharge planner
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