QuestionAugust 25, 2025

Which of the following statements best defines utilization management? a. It is a process that determines whether a planned service or a patient's condition warrants care in an inpatient setting. b. It is an ongoing infection surveillance program. c. It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care. d. It is the process of determining whether the medical care provided to a patient is necessary.

Which of the following statements best defines utilization management? a. It is a process that determines whether a planned service or a patient's condition warrants care in an inpatient setting. b. It is an ongoing infection surveillance program. c. It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care. d. It is the process of determining whether the medical care provided to a patient is necessary.
Which of the following statements best defines utilization management?
a. It is a process that determines whether a planned service or a patient's condition
warrants care in an inpatient setting.
b. It is an ongoing infection surveillance program.
c. It is a set of processes used to determine the appropriateness of medical services
provided during specific episodes of care.
d. It is the process of determining whether the medical care provided to a patient is
necessary.

Solution
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Answer

c. It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care. Explanation 1. Identify Key Concepts Utilization management involves assessing the necessity, appropriateness, and efficiency of healthcare services. 2. Match Definition to Options Option c describes utilization management as it focuses on determining the appropriateness of medical services during specific episodes of care.

Explanation

1. Identify Key Concepts<br /> Utilization management involves assessing the necessity, appropriateness, and efficiency of healthcare services.<br /><br />2. Match Definition to Options<br /> Option c describes utilization management as it focuses on determining the appropriateness of medical services during specific episodes of care.
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