Final answer:
The nurse's role in utilization review was a direct result of the creation of Diagnosis-Related Groups (DRGs) in 1983 as part of federal health policy. Nurses assess medical records and ensure the care provided aligns with established guidelines and protocols.
Step-by-step explanation:
The nurse's role in the process of utilization review was a direct result of the creation of Diagnosis-Related Groups (DRGs) in 1983. These DRGs were implemented as part of federal health policy to standardize healthcare reimbursement based on the primary diagnosis and treatment provided to patients. Utilization review involves assessing the appropriateness and necessity of healthcare services, and nurses play a crucial role in this process by evaluating medical records and determining if the care provided aligns with established guidelines and protocols.
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