Caveat Emptor Services,Inc

question 89

Multiple Choice

Caveat Emptor Services,Inc.,is a consulting firm that offers a service to employers that examines all medical work and charges.Caveat reviews the procedures done and the charges for the procedures.As necessary,Caveat obtains a second opinion about the medical procedures performed.Caveat is performing

• A) medical monitoring.
• B) reimbursement control.
• C) a utilization review.
• D) a medical services audit.

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Definitions:

Educational Policy

Guidelines and standards established to govern the operation and procedural framework of educational institutions.

Accreditation Standards

Set criteria and guidelines established by accrediting bodies that institutions or programs must meet to be accredited.

Competencies

The skills, knowledge, and abilities that are necessary to perform tasks or duties effectively.

Critical Analysis

A method of evaluating the components of a complex issue or system to understand its essence and determine outcomes.