Question

which of these is an entity that establishes a utilization management program and performs external utilization review services?
a. hmo
b. uro
c. pos
d. ppo

Explanation:

A Utilization Review Organization (URO) is an entity that establishes a utilization management program and performs external utilization review services. HMO (Health Maintenance Organization), POS (Point - of - Service), and PPO (Preferred Provider Organization) are types of managed care plans, not entities focused on utilization review in the described way.

Answer:

B. URO