Organizations Today Have Rigid Boundaries Separating Them from Other Organizations

question 43

True/False

Organizations today have rigid boundaries separating them from other organizations.

---

Definitions:

Carrier

(1) Associated with diseases inherited; (2) One who carries, transports; with insurance, it’s the company that provides the policy.

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.