Describe the following activities that are completed through utilization management: preadmission certification, preauthorization, concurrent review and discharge planning
?Preadmission certification: involves reviewing the necessity of an admission prior to its occurrence Discharge planning: arranging services that patients may require upon discharge
Preauthorization: a review of elective procedures requiring prior approval for re-imbursement
Concurrent review: reviewing services ordered for medical necessity during an inpatient hospitalization before they are provided
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Only about _____________ of proximal humeral fractures require open reduction or pinning
A. 10% C. 20% B. 30% D. 5%
While monitoring a mechanically ventilated patient, the therapist performs an expiratory hold maneuver to ascertain the presence of auto-PEEP. During that maneuver, the therapist notes that the pressure indicates 0 cm H2O. How should the therapist interpret this finding? I. The patient has no auto-PEEP. II. Airway pressure at this time equals alveolar pressure. III. The patient's static
compliance has increased. IV. The patient's lungs have not completely emptied. A. I only B. IV only C. I, II only D. II, III only