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Consider the following demand and cost information for a monopoly.
Table 11-1 Refer to Table 11-1. To maximize profit, the monopolist sets price at
Approved Medical Bill
A health care invoice that has been processed and confirmed for payment by an insurance company or health plan.
Utilization Management (Review)
A process used in healthcare to optimize the use of resources and ensure that treatments provided to patients are appropriate, necessary, and efficient.
Managed Care
A health care delivery system designed to manage cost, utilization, and quality of health services.
Medical Necessity
A judgment by a healthcare provider that a specific treatment, test, or procedure is essential for diagnosing or treating a patient's condition in accordance with accepted standards of medical practice.
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