Examlex
Which professional statement makes it clear that a nurse's responsibility is first to the patient and second to the institution?
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.
Deductible
The amount paid out of pocket by the policyholder before an insurance company pays a claim.
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