This topic contains a solution. Click here to go to the answer

Author Question: The portion of a utilization review program that occurs prior to the medical procedure is called ... (Read 316 times)

wenmo

  • Hero Member
  • *****
  • Posts: 540
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
Answer to Question 1

Answer: c

Answer to Question 2

Answer: c




wenmo

  • Member
  • Posts: 540
Reply 2 on: Jun 27, 2018
:D TYSM


momolu

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Gracias!

 

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

Did you know?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

The effects of organophosphate poisoning are referred to by using the abbreviations “SLUD” or “SLUDGE,” It stands for: salivation, lacrimation, urination, defecation, GI upset, and emesis.

For a complete list of videos, visit our video library