Question

A __________ is defined as one who controls a patient's access to certain tests, treatments, and specialty visits in a managed care plan

A. case manager
B. utilization manager
C. primary care physician
D. none of these are correct

Answer 1

The correct answer is B. utilization manager. Utilization managers control a patient's access to tests, treatments, and specialty visits in a managed care plan.

Step-by-step explanation:

The correct answer is B. utilization manager.

An utilization manager is defined as one who controls a patient's access to certain tests, treatments, and specialty visits in a managed care plan. They are responsible for ensuring that healthcare resources are used efficiently and in accordance with the guidelines set by the health insurance plan.

For example, if a patient wants to undergo a costly medical test, the utilization manager's role is to review the medical necessity and determine whether the test should be approved or not.

The primary care physician is responsible for maintaining continuity of care and ensuring that any specialized services are both necessary and appropriate.