Monitoring a patient's prognosis for recovery becomes important in which type of utilization review?
Concurrent
Preauthorization
Retrospective
Prospective
The Correct Answer is A
A. Concurrent: Concurrent utilization review involves the ongoing monitoring of a patient's care and recovery while they are still receiving treatment. This type of review focuses on ensuring that the care provided is appropriate and that the patient is progressing as expected.
B. Preauthorization: Preauthorization involves obtaining approval from a health insurer before a service is provided to ensure it will be covered. It does not focus on monitoring a patient's recovery.
C. Retrospective: Retrospective review involves evaluating the care provided to a patient after the treatment has been completed. It looks at the appropriateness of care but does not monitor ongoing recovery.
D. Prospective: Prospective review involves evaluating the necessity of a treatment before it begins. It does not include ongoing monitoring of a patient's prognosis for recovery.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Daily weight scale: This option refers to a measurement tool for tracking daily weight changes and is not related to assessing functional ability.
B. The interval scale: This refers to a type of measurement scale used in statistics and is not related to assessing functional ability.
C. Activities of daily living (ADL) scale: ADL scales assess an individual's ability to perform basic self-care tasks independently, such as bathing, dressing, grooming, eating, and toileting.
These assessments are used to evaluate functional ability and determine levels of assistance or care needed.
D. CURB-65 Scale: The CURB-65 scale is a clinical prediction tool used to assess the severity of pneumonia and predict the risk of mortality but is not specifically related to assessing
functional ability.
Correct Answer is C
Explanation
Rationale:
A. Beliefs and values of Americans: While public opinion and support may influence the fate of healthcare policies, the survival of the Affordable Care Act (ACA) has been significantly
impacted by legal challenges and court rulings.
B. Moderation of health care costs: While controlling healthcare costs is an important goal of the ACA, it has not been the primary factor ensuring its survival.
C. Court rulings: Legal challenges to various aspects of the ACA, including its constitutionality and implementation, have led to significant court rulings that have shaped and determined its survival.
D. Political maneuvering: Political factors and maneuvering have certainly played a role in debates and attempts to repeal or modify the ACA, but court rulings have been more directly influential in determining its survival.
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