Analyses performed to improve the processes and outcomes of patient care are called:
A) appeals.
B) peer reviews.
C) redeterminations.
D) quality review studies.

Question

Quizplus · Accepted Answer

Quality review studies are analyses performed to identify opportunities for improving the processes and outcomes of patient care, with the goal of enhancing the quality of care provided by healthcare organizations. Appeals, peer reviews, and redeterminations are related to reimbursement and insurance matters, and not directly related to improving patient care.

Analyses Performed to Improve the Processes and Outcomes of Patient