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:

Congress

The national legislative body of a country, specifically in the United States, made up of the House of Representatives and the Senate.

Board of Governors

The leading body of a central bank system or other regulatory agency, responsible for setting policies and overseeing the institution's operations.

Monetary Policy

The process by which a central bank, currency board, or government manages the supply of money and interest rates to achieve economic objectives like controlling inflation, consumption, growth, and liquidity.

President's Pleasure

A legal term denoting the indefinite detention of a prisoner because the head of state has not exercised their power to limit the period of detention.