Question: If you needed a surgery that was not complex and would allow you to be cared for by family, what kind of outpatient facilities might
If you needed a surgery that was not complex and would allow you to be cared for by family, what kind of outpatient facilities might you look into?
Question options:
private practices
hospital outpatient facilities
freestanding facilities
mobile facilities
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In which type of utilization management is a primary care physicians opinion necessary in referring or not referring a patient to a specialist?
Question options:
precertification
retrospective
concurrent
gatekeeping
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CMS uses which of the following as an overall measure of a health plans quality?
Question options:
accreditation by the NCQA
a star rating system
HEDIS data
selfreporting
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Which of the following components are necessary for measuring hospital days of care incurred by a population?
Question options:
Hospital capacity and average length of stay
Hospital capacity and average daily census
Discharges and average length of stay
Size of the population and inpatient days
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What was consumers main complaint against managed care during the s
Question options:
lack of choice providers
rising premiums
increased risk sharing
rising deductibles
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