Utilization Review Allows a Managed Care Organization to Evaluate Whether

question 6

True/False

Utilization review allows a managed care organization to evaluate whether provided services are appropriate and then deny payment for services that were unnecessary.

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Definitions:

Weight Set Point

The theory that the body has a natural or optimal weight that it strives to maintain through its metabolic and physiological mechanisms.

Hypothalamic Activity

Pertains to the actions or functions of the hypothalamus, a small region of the brain that regulates many bodily functions including hunger, thirst, and temperature.

Dieting

The practice of eating in a regulated and supervised manner to achieve or maintain a controlled weight or health objective.

Body Image

A person's perceptions, thoughts, and feelings about their body and physical appearance.