A patient goes to a hospital complaining of back pain. After performing blood work and an x-ray, the doctor thinks she has a diagnosis but would like to do a CT scan to be sure. However, the insurance company denies coverage of the test, saying it is not necessary. This is an example of
A. institutional isomorphism.
B. a preferred provider organization.
C. a point of service system.
D. managed care.
E. malpractice
Answer: D
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