QUESTION IMAGE
Question
question 8 (2.5 points) retake question
the method of controlling health care costs and quality of care by reviewing the appropriateness and necessity of care provided is called:____.
health information management
risk management
quality management
utilization management
question 9 (2.5 points) retake question
a ____ is a managed care network of physicians and hospitals that have joined together to contract with insurance companies, employers, or other organizations to
Utilization management is a method used to control healthcare costs and quality by reviewing the appropriateness and necessity of care provided. It involves assessing whether medical services, procedures, or treatments are necessary, appropriate, and cost - effective. This helps in ensuring that patients receive the right care at the right time while also managing costs for insurers, employers, or other organizations. Quality management focuses more on the overall quality of care processes and outcomes rather than specifically on reviewing care in the context of cost - control as described. Risk management in healthcare is about identifying, assessing, and mitigating risks to patients, staff, and the organization. Health information management is concerned with the collection, storage, retrieval, and use of health information.
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A. utilization management