5 Questions
Which technique involves the approval of services before delivery?
Precertification
What is the primary goal of utilization management?
To manage health care costs by influencing patient care decision-making
What does concurrent review focus on?
Authorization of additional services and length of stay
What is the nature of most reports criticizing utilization management practices?
Anecdotal, with little systematic evidence
What does case management incorporate?
Both precertification and concurrent review in more intense, ongoing review of care
Test your knowledge of utilization management in managed behavioral health organizations with this quiz. Explore the frequency and types of reviews, as well as the extent to which service rationing is achieved through denials. Learn about specialty managed care organizations and their role in providing mental health benefits.
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