Describe the purpose and process of utilization review.
Question:
Describe the purpose and process of utilization review.
Fantastic news! We've Found the answer you've been seeking!
Step by Step Answer:
Answer rating: 100% (QA)
Utilization review UR is a process used by insurance companies healthcare providers and managed care organizations to evaluate the appropriateness necessity and efficiency of medical services and trea...View the full answer
Answered By
Utsab mitra
I have the expertise to deliver these subjects to college and higher-level students. The services would involve only solving assignments, homework help, and others.
I have experience in delivering these subjects for the last 6 years on a freelancing basis in different companies around the globe. I am CMA certified and CGMA UK. I have professional experience of 18 years in the industry involved in the manufacturing company and IT implementation experience of over 12 years.
I have delivered this help to students effortlessly, which is essential to give the students a good grade in their studies.
3.50+
2+ Reviews
10+ Question Solved
Related Book For
Legal Aspects Of Health Care Administration
ISBN: 9780198717676
12th Edition
Authors: George D. Pozgar, Nina Santucci
Question Posted:
Students also viewed these Social Science questions
-
s1 educated (SSE) student for every three public school educated (PSE) students. Reasoning that students are not very dissimilar from threads, he suggests the following entry and exit routines be...
-
Identify the process evaluation article that you chose and explain why you selected this example. Describe the purpose of the evaluation, the informants, the questions asked, and the results of the...
-
Data gistrun sending inside a pack fills in as conventional allowing subordinate rules to execute on progressive clock cycles. Correspondence between gatherings conventionally causes a surprising...
-
An employee of Gus's Restaurant sustains a work-related injury. The owner of the restaurant is liable for the injury, however, the employee is not covered under the state's workers' compensation...
-
What is the purpose of matching receiving report and invoice details to purchase orders?
-
A 15-MVA, three-phase, 6.6-kV generator with subtransient reactance X d = 15% feeds a three-phase, 1-MVA, 6.6-kV/480 V transformer with X trfr = 7% via cable that has a leakage reactance X cable =...
-
Why would it be difficult to evaluate whether or not a project achieved its MOV shortly after the product is released or the system is implemented? AppendixLO1
-
A manufacturing company employs several maintenance employees. When a problem occurs with the equipment, a maintenance employee receives a description of the symptoms and is supposed to locate and...
-
Michael Ltd. reported following transactions and information regarding the common shares of Mitchell Company: March 1, 2020: Purchased 50,000 shares at $26.75 plus $12,000 commission. December 31,...
-
Describe the common models of managed care organizations.
-
Discuss the purpose and various titles of the Patient Protection and Affordable Care Act of 2010 (PPACA).
-
Firms go to great lengths to develop new product ideas. Sometimes new ideas come from brainstorming in which groups of individuals get together and try to think of as many different, novel, creative ...
-
who do you think sets the underlying ethical standards when the law is fuzzy on an issue? as business and societal issues develop in the future, how does your opinion in this area inform your...
-
how do i introduce low risk high reward for a new medical assistant supervisor role in an organization?
-
How do individual differences in cognitive styles, such as analytical versus intuitive thinking, impact problem-solving approaches and decision-making processes within teams ?
-
In Russian government, do you think that Russian Military Performance is good in warfare against Ukraine? Explain.
-
Why do you think the competing values framework is important to an organization's effectiveness? Describe the four profiles of the competing values framework. Identify one of the profiles and provide...
-
Collecting data on traffic accident fatalities, the National Highway Traffic Safety Administration has found that 58.7% of the victims have 0.0% blood alcohol content (BAC), 5.8% of the victims have...
-
How does the organizational structure of an MNC influence its strategy implementation?
-
A proposed $2.5 M investment in new equipment at a 100 MG/y M&Ms factory will save the plant $800,000/y in energy costs. Assuming an annual interest rate of 5%/y (compounded annually), and an...
-
Brief Exercise 10-7 Coronado Company obtained land by issuing 2,250 shares of its $14 par value common stock. The land was recently appraised at $103,240. The common stock is actively traded at $44...
-
The following schedule reconciles Cele Co.'s pretax GAAP income Pretax GAAP income Nondeductible expense for fines Tax deductible depreciation in excess of GAAP depreciation expens Taxable rental...
Study smarter with the SolutionInn App