Distinguish between the two basic approaches to utilization management: prospective review/precertification and retrospective review
In prospective review/precertification the service is examined before it is provided. Data are collected from the patient and the physician to compare the data to appropriate criteria. If the standards are met, the service can be provided. If the standards are not met, a physician advisor may be asked to review the case and make a determination. In retrospective review, care is looked at after it is given. Data are collected from a sample of medical records, and the information from the record is compared to the appropriate standards. Feedback then is given to the caregiver regarding inappropriate care provided.
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Employers are looking for a variety of skills from their employees. There are six basic skills necessary to your success as a medical assistant. Which of the following is NOT one of the six basic skills mentioned in the textbook?
a. Reading b. Writing c. Driving d. Listening
A moderate experimental ultraviolet index (EUI) would be
A) 2 B) 4 C) 6 D) 8