QUESTION: 189

The following paragraph contains an incomplete statement. Select the answer choice containing the term that correctly completes the statement. Advances in computer technology have revolutionized the processing of medical and drug claims. Claims processing i

Lower
Higher
Same
No change

Answer(s): B

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QUESTION: 190

The following programs are part of the Alcove Health Plan's utilization management (UM) program:
-Preventive care initiatives -A telephone triage program -A shared decision-making program -A self- care program
With regard to the UM programs, it is most

Preventive care initiatives include immunization programs but not health promotion programs.
Telephone triage program is staffed by physicians only.
Shared decision-making program is appropriate for virtually any medical condition.
Self-care program is intended to complement physicians' services, rather than to supersede or eliminate these services.

Answer(s): D

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QUESTION: 191

The following programs are part of the Alcove MCO's utilization management (UM) program:
-A telephone triage program -Preventive care initiatives -A shared decision-making program -A self- care program
With regard to the UM programs, it is most likely cor

self-care program is intended to complement physicians' services, rather than to supercede or eliminate these services
telephone triage program is staffed by physicians only
shared decision-making program is appropriate for virtually any medical condition
preventive care initiatives include immunization programs but not health promotion programs

Answer(s): A

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