Final answer:
The monitoring of physician-specific practice patterns is called practice profiling. It involves analyzing various metrics related to patient care to evaluate a physician's performance, aiming to enhance healthcare quality and efficiency. The Correct Answer is Option. D.
Step-by-step explanation:
The term that refers to the monitoring of physician-specific practice patterns is practice profiling. Practice profiling is a method used by healthcare providers and insurance companies to evaluate the individual performance of physicians by analyzing various metrics related to patient care.
These metrics can include the types of treatments prescribed, the cost-effectiveness of those treatments, patient outcomes, and adherence to clinical guidelines, among others. It’s a tool often used to improve healthcare quality, efficiency, and reduce unnecessary costs.
Concurrent utilization review is the process of reviewing the necessity of medical care while it is being provided. Retrospective utilization review involves reviewing the use of medical services after they have been provided. Case management, on the other hand, is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet an individual’s health needs.