Utilization Guidelines Are Used To

question 66

Multiple Choice

Utilization guidelines are used to:

• A) determine if services are medically necessary.
• B) determine if care is provided by the most appropriate provider.
• C) determine if the provider is in the network.
• D) determine if an employee is covered under the plan.

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Definitions:

30-minute Phone Survey

A research method involving a telephone interview, typically lasting half an hour, used to gather data or opinions from participants.

Skewed Results

Data or outcomes that are disproportionately affected by variables or factors, leading to a distortion from the expected or true distribution.

Sentiment Analysis

The process of using text analysis tools to understand the emotions and opinions expressed in written content on social media and other platforms.

Text Classifiers

Definition: Algorithms or systems used in natural language processing to categorize or tag text into predefined categories based on its content.