Utilization Management in Managed Behavioral Health Organizations Quiz
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Questions and Answers

Which technique involves the approval of services before delivery?

  • Concurrent review
  • Case management
  • Anecdotal reporting
  • Precertification (correct)
  • What is the primary goal of utilization management?

  • To maximize the length of hospital stays for patients
  • To manage health care costs by influencing patient care decision-making (correct)
  • To provide unlimited health care benefits to patients
  • To minimize the involvement of purchasers in health care decisions
  • What does concurrent review focus on?

  • Approval of services before delivery
  • Authorization of additional services and length of stay (correct)
  • Managing health care costs through patient care decision-making
  • High users of care
  • What is the nature of most reports criticizing utilization management practices?

    <p>Anecdotal, with little systematic evidence</p> Signup and view all the answers

    What does case management incorporate?

    <p>Both precertification and concurrent review in more intense, ongoing review of care</p> Signup and view all the answers

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