Under managed care programs, utilization review refers to all of the following EXCEPT
A) the use of predefined criteria to evaluate treatment.
B) the appropriateness of therapeutic intervention.
C) therapy effectiveness.
D) abandoning clients.

Question

Quizplus · Accepted Answer

Utilization review in managed care programs involves evaluating the necessity, appropriateness, and efficiency of healthcare services using predefined criteria. It does not involve abandoning clients, which is unethical and not a part of the utilization review process.

Under Managed Care Programs, Utilization Review Refers to All of the Following