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HIM2135 Revenue Cycle Management Module 3 Managed Care Organizations (MCOs)- Cost Control Methods Managed Care Organizations (MCOs) Cost Control Methods Assignment Instructions: There are 3

HIM2135 Revenue Cycle Management Module 3 Managed Care Organizations (MCOs)- Cost Control Methods Managed Care Organizations (MCOs) Cost Control Methods Assignment Instructions: There are 3 parts to the assignment. The objective of the assignment is to identify and describe various cost control components, apply your knowledge of the processes and evaluate the methods. Part 1-Prior Approval Part 2-Medical Necessity Review Part 3-Cost Control Methods Student work is to be authentic with APA citations (In-text and References) for information obtained from other sources and incorporated verbatim or para-phrased. Grammar, spelling, punctuation, capitalization, sentence structure and appropriate word usage will be evaluated (see scoring rubric). Part 1 - Prior Approval (10 points) a. What is the purpose of prior approval or preauthorization? (1 point) b. What is the purpose of utilization review? (1 point)

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