QUESTION: 13

Concurrent review states that:

Planning appropriateness and medical necessity of a hospital stay while the patient is in the hospital and implementing discharge planning.
Monitoring appropriateness and medical necessity of a hospital stay while the patient is not in the hospital and try to implement discharge planning.
Planning appropriateness and medical necessity of a hospital stay while the patient is not in the hospital and try to implement preadmission planning.
Monitoring appropriateness and medical necessity of a hospital stay while the patient is in the hospital and implementing discharge planning.

Answer(s): D

QUESTION: 14

Gatekeepers requiring a patient to obtain a referral from his or her primary care physician, the gatekeeper, before assign a specialist.

True
False

Answer(s): A

Reveal Solution Next Question

QUESTION: 15

Requiring providers to have their capital expenditures preapproved by an independent state agency to avoid unnecessary duplication of services is referred to as: