Describe the following activities that are completed through utilization management: preadmission certification, preauthorization, concurrent review and discharge planning


?Preadmission certification: involves reviewing the necessity of an admission prior to its occurrence Discharge planning: arranging services that patients may require upon discharge
Preauthorization: a review of elective procedures requiring prior approval for re-imbursement
Concurrent review: reviewing services ordered for medical necessity during an inpatient hospitalization before they are provided

Health Professions

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What are the major national-level sources for health services research? Describe the major features of these data sources.

What will be an ideal response?

Health Professions

If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary?

TRICARE is primary. Medicare is primary. The patient can select which is primary. The provider can select which is primary.

Health Professions

A(n) ____________________ is a view of the heart's electrical activity from a specific vantage point.

Fill in the blank(s) with the appropriate word(s).

Health Professions

Fraternal twins may also be referred to as

a. dizygotic twins. b. monozygotic twins. c. polyzygotic twins. d. trizygotic twins.

Health Professions