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Video Quiz

What Is Utilization Review?

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What Is Utilization Review?

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About this activity

https://www.youtube.com/watch?v=6F0bHlDBSEk

Created by

Ash Collignon
Ash Collignon
United States

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What Is Utilization Review?
 

What Is Utilization Review?Online version

https://www.youtube.com/watch?v=6F0bHlDBSEk

by Ash Collignon
QR
1

What is the main goal of Utilization Review?

2

Which of the following is not a type of utilization review mentioned in the video?

3

What is the purpose of a retrospective review?

4

Who typically performs utilization reviews?

5

What are possible outcomes of the utilization review decision-making process?

6

What does utilization review help prevent?

7

If a provider calls to request approval for a procedure before the patient receives treatment, which part of the Care Management team handles this, and what type of review is it?

8

Which of the following best reflects why utilization review and financial advocacy are both important parts of the Care Management process?

9

A provider is calling in during a member’s ongoing inpatient stay to extend the hospital days due to complications. What kind of review is this, and what must be considered when processing the request?

10

Why is it important for you to understand utilization review and the role of the Care Management team, even if you’re not the one making clinical decisions?

 
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