Explain what utilization review is.

What will be an ideal response?


A process of comparing preestablished criteria against the health care provided to the patient to determine whether that care is necessary.

Health Professions

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The eight carpal bones are the scaphoid, lunate,

a. triquetrum, piriformis, trapezium, trapezoid, capitate, and hamate. b. triquetrum, pisiform, trapezium, trapezoid, capitate, and hamate. c. triquetrum, pisiform, talus, trapezoid, capitate, and hamate. d. triquetrum, pisiform, trapezium, trapezoid, capitate, and hallucis.

Health Professions

Restraint alternatives:

A. are rarely available in long-term-care facilities. B. should be tried before restraints are used. C. are only used in very combative residents. D. do not need to be considered.

Health Professions

Which potentially fatal disease can be transmitted by needle sticks or blood contact, and for which no vaccine is available?

A. Hepatitis B B. Meningitis C. Tuberculosis D. HIV/AIDS

Health Professions

Johnny Smith has just been arrested and told the police he is on insulin for his diabetes, but he cannot remember the name or the dosage. The police go to the doctor's office and ask for a copy of Johnny Smith's records. What should the response be?

A. Tell the police he has to sign an authorization for release of the information. B. Give the records to the police because he is incarcerated. C. Call the hospital attorney and tell them the police want medical records on Johnny Smith. D. Call risk management and tell them the police are here about Johnny Smith.

Health Professions