IIA
IIA-CFSA · Question #434
In utilization management, utilization reviews begin with a preadmission certification. In such situations, insureds must make notification within 48 hours of admission or face reduced or lost…
The correct answer is D. Concurrent review. See the full explanation below for the reasoning.
Question
In utilization management, utilization reviews begin with a preadmission certification. In such situations, insureds must make notification within 48 hours of admission or face reduced or lost benefits. Utilization reviewers monitor the appropriateness of care while a patient is hospitalized. This is known as:
Options
- AFormal review
- BUR primary activity
- CPreadmission certification
- DConcurrent review
How the community answered
(42 responses)- A2% (1)
- B5% (2)
- C12% (5)
- D81% (34)
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