A System Used to Evaluate the Necessity, Appropriateness, and Efficiency

question 18

Multiple Choice

A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:

• A) managed care
• B) gate keeping
• C) utilization review
• D) capitation

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Definitions:

Hybrid Wage System

A compensation strategy that combines elements of both hourly wages and salary, potentially including performance bonuses or commissions.

Administrative Employees

Employees who are responsible for office functions and tasks; they typically engage in non-manual work related to the general business operations of an organization.

Merit Increases

Salary raises awarded to employees based on their performance and contribution to the organization.

Lump-Sum Basis

A method of payment or compensation with a fixed total amount to be paid in one single sum, rather than through installments or percentages.