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
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Training in community health, public health, and geriatrics: While important for addressing workforce challenges, this option focuses on specific areas of training rather than broader workforce strategies.
B. Unify licensing and scope of practice across states: This proposal aims to address regulatory barriers but may not directly address workforce challenges as comprehensively as other options.
C. Nurses should practice to the full extent of their training and education: This proposal focuses on maximizing the role of nurses, which is important but may not address all aspects of future workforce challenges.
D. Flexibility, cross-training, and skills in nonclinical areas (such as supervision): This proposal emphasizes adaptability and diversification of skills, which can help address workforce
challenges by enabling healthcare professionals to fill multiple roles and adapt to changing healthcare needs.
Correct Answer is A
Explanation
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.
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