Author Question: Ensuring that a provider is not underutilizing services and compromising the health of managed care ... (Read 46 times)

Engineer · **on:** Jul 12, 2018

Ensuring that a provider is not underutilizing services and compromising the health of managed care members or overutilizing services and creating unnecessary expense is ________________.
A) service regulation
B) financial supervision
C) enrollment managemen
D) economic credentialing

Question 2

The resource utilization group (RUG) that applies to a given resident is based on __________________.
A) the principal and up to 10 additional diagnosis codes
B) all diagnosis codes and procedures codes
C) documentation of care areas triggered
D) the minimum data set