Monitoring a patient's prognosis for recovery becomes important in which type of utilization review?
Concurrent
Preauthorization
Retrospective
Prospective
The Correct Answer is A
A. Concurrent: Concurrent utilization review involves the ongoing monitoring of a patient's care and recovery while they are still receiving treatment. This type of review focuses on ensuring that the care provided is appropriate and that the patient is progressing as expected.
B. Preauthorization: Preauthorization involves obtaining approval from a health insurer before a service is provided to ensure it will be covered. It does not focus on monitoring a patient's recovery.
C. Retrospective: Retrospective review involves evaluating the care provided to a patient after the treatment has been completed. It looks at the appropriateness of care but does not monitor ongoing recovery.
D. Prospective: Prospective review involves evaluating the necessity of a treatment before it begins. It does not include ongoing monitoring of a patient's prognosis for recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Health insurance: While health insurance has influenced healthcare delivery and financing, it is not credited with the significant expansion of hospital beds as compared to other options.
B. Hill-Burton Act: The Hill-Burton Act, passed in 1946, provided federal grants and loans for hospital construction and modernization, leading to a substantial increase in the number of hospital beds in the United States.
C. Technological advances: Technological advances have certainly influenced healthcare
delivery and the types of services provided in hospitals, but they may not have directly led to the expansion of hospital beds to the same extent as the Hill-Burton Act.
D. Medicare and Medicaid: While Medicare and Medicaid have had significant impacts on
healthcare financing and access, they may not have directly influenced the expansion of hospital beds as much as the Hill-Burton Act.
Correct Answer is A
Explanation
Rationale:
A. Total number of inpatient days incurred by a population over a given period of time: "Days of care" refers to the total number of days that all inpatients collectively spend in hospitals over a specified period, such as a month or a year. It is a measure of the volume of inpatient services provided.
B. The number of days a patient stays in a hospital: While this answer describes the duration of an individual patient's hospital stay, it does not encompass the concept of "days of care," which refers to the aggregate total of inpatient days across all patients.
C. The total number of patients admitted: This answer refers to the number of patients admitted to a hospital but does not capture the concept of "days of care," which measures the duration of inpatient stays.
D. The length of time patients are treated in a clinic: This answer describes the duration of
treatment in a clinic setting, which is different from the concept of "days of care" in the context of inpatient hospital services.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.