A method used by a health plan to measure the amount and appropriateness of health services used by its members is called a(n)
A. coinsurance review.
B. capitation review.
C. accountable care review.
D. formulary review.
E. utilization review.
E. utilization review.
A utilization review is the method used by health plans to measure appropriate services. A formulary is a list of approved prescriptions for which it will reimburse subscribers. Capitation is a set advance payment made to providers, and coinsurance refers to the amount of money that insurance plan members pay out of pocket.
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Inspection of the maxillary sinuses is accomplished by:
A) palpating under the zygomatic arches. B) obstructing one side of the nares and watching the patient breathe. C) using an otoscope for visualization. D) palpating the nose and septum.
A finding of exophthalmos and goiter should increase your suspicion for a problem with the:
A) anterior pituitary gland. B) posterior pituitary gland. C) thyroid gland. D) parathyroid gland.
The mode of delivery that has the equipment pulled over the patient's chest is the ________-delivery system
a. rear b. side c. front d. none of the above
Diagnostic testing shows acute duodenal ulcer with hemorrhage and perforation. This would be reported with code(s) _____
Fill in the blank(s) with correct word