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The review for the medical necessity of tests and procedures ordered during an inpatient hospitalization is called_________.

1) concurrent review
2) discharge planning
3) utilization review
4) preadmission certification

1 Answer

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Final answer:

The review for the medical necessity of tests and procedures ordered during an inpatient hospitalization is called utilization review.

Step-by-step explanation:

The review for the medical necessity of tests and procedures ordered during an inpatient hospitalization is called utilization review. Utilization review is a process that ensures that the tests and procedures ordered for a patient are necessary and appropriate for their medical condition.

During utilization review, a team of healthcare professionals, including the surgeon, nurse, and anesthesia professional, will review the key concerns for the recovery and care of the patient. They will discuss critical events, such as the expected duration of the operation, anticipated blood loss, and concerns specific to the patient.

Utilization review plays a crucial role in controlling healthcare costs and ensuring that resources are used efficiently and effectively.

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