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QUESTION IMAGE

which process does the surveillance and utilization review subsystem (s…

Question

which process does the surveillance and utilization review subsystem (surs) use to monitor both the use of health services by recipients and the delivery of health services by providers?
○ a. accreditation
○ b. concurrent review
○ c. postpayment review
○ d. quality assurance program

Explanation:

Brief Explanations
  • Accreditation is about an organization meeting certain standards, not real - time monitoring of service use and delivery.
  • Concurrent review is a process that monitors the use of health services by recipients and the delivery by providers as the services are being provided.
  • Post - payment review occurs after payment has been made, so it is not for real - time monitoring.
  • A quality - assurance program is a broader set of activities to ensure quality, not the specific process for real - time monitoring of use and delivery.

Answer:

B. concurrent review