QuestionAugust 12, 2025

Which factor is the nurse manager evaluating when reviewing how many patient visits have been reimbursed by a prospective payer? Utilization Managed care Unit of service Contractual allowance

Which factor is the nurse manager evaluating when reviewing how many patient visits have been reimbursed by a prospective payer? Utilization Managed care Unit of service Contractual allowance
Which factor is the nurse manager evaluating when reviewing how many patient visits have
been reimbursed by a prospective payer?
Utilization
Managed care
Unit of service
Contractual allowance

Solution
4.4(255 votes)

Answer

Contractual allowance Explanation 1. Identify the factor related to reimbursement The nurse manager is evaluating how many patient visits have been reimbursed, which relates to financial aspects of healthcare services. 2. Determine the correct term for evaluation "Contractual allowance" refers to the difference between what a healthcare provider bills and what the payer agrees to pay. It directly involves reimbursement processes.

Explanation

1. Identify the factor related to reimbursement<br /> The nurse manager is evaluating how many patient visits have been reimbursed, which relates to financial aspects of healthcare services.<br /><br />2. Determine the correct term for evaluation<br /> "Contractual allowance" refers to the difference between what a healthcare provider bills and what the payer agrees to pay. It directly involves reimbursement processes.
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