Which Organization Is Responsible for Admission Review, Readmission Review, Procedure

question 41

Multiple Choice

Which organization is responsible for admission review, readmission review, procedure review, day and cost outlier review, DRG validation, and transfer review?

• A) QIO
• B) APC
• C) PPS
• D) MRO

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Definitions:

Tarasoff Case

A legal case that established the duty of mental health professionals to warn individuals who are being threatened with harm by a patient.

Warn

To inform someone of a possible danger, risk, or other unpleasant situation so that they are aware and can take precautionary measures.

Involuntary Commitment

The process by which individuals are admitted to a psychiatric facility without their consent, typically due to severe mental illness posing a risk to themselves or others.

Dangerous

Refers to something that is likely to cause harm or injury.