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Question 24

The following statement(s) can correctly be made about utilization guidelines:

1. When developing utilization guidelines, health plans balance evidence-based criteria with experience-based criteria

2. Utilization guidelines indicate when a UR nurse should refer a decision to a physician reviewer

Options:

A.

Both 1 and 2

B.

1 only

C.

2 only

D.

Neither 1 nor 2

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AHIP AHM-540 Actual Questions, New Release AHM-540 AHIP Certification Questions, All AHM-540 Test Inside AHIP Questions, AHM-540 Reviews Questions,
Exam Code: AHM-540
Exam Name: Medical Management
Last Update: Dec 22, 2024
Questions: 163
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