Question

prior to scheduling elective surgery, managed care plans sometimes require a

a. second surgical opinion.

b. utilization review.

c. risk contract.

d. risk adjustment.

Explanation:

Managed care plans often require a second surgical opinion prior to elective surgery to ensure the necessity and appropriateness of the procedure. This helps in reducing unnecessary surgeries and controlling costs. A utilization review (b) is more about reviewing the use of services in general, a risk contract (c) relates to contractual arrangements regarding risk, and a risk adjustment (d) is about adjusting for risk factors in payments or coverage.

Answer:

a. second surgical opinion