Utilization Guidelines Are Used To

question 11

Short Answer

Utilization guidelines are used to:
A)determine if services are medically necessary.
B)provide physician offices with more paperwork.
C)determine if the provider is in the network.
D)determine if an employee is covered under the plan.

• A)determine if services are medically necessary.
• B)provide physician offices with more paperwork.
• C)determine if the provider is in the network.
• D)determine if an employee is covered under the plan.

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Definitions:

Substitution Effect

The substitution effect occurs when consumers replace more expensive items with less costly alternatives as prices change.

Diminishing Returns

A principle stating that if one factor of production is increased while others are held constant, the additional output generated will eventually decrease.

Government Subsidies

Financial support provided by the government to businesses, individuals, or other entities, typically to encourage certain activities or reduce costs.

Agriculture

The science, art, and practice of cultivating the soil, growing crops, and raising livestock; including the preparation and marketing of the resulting products.