All categories

3 years ago

Prospective utilization review is:

Business

1 answer:

kvasek [131]3 years ago

3 0

Answer: Examines specific provider patterns of practice.

Explanation: Prospective reviews provide the original pre-treatment examination and the primary treatment evaluation for a particular area of the body.

Utilization review is a health insurance company's opportunity to review a request for medical treatment. The aim of the examination is to ensure that your healthcare services are covered by the package. It also helps to reduce costs for the client and assess whether the common treatment is appropriate.

Thus, from the above we can conclude that the correct option is C .

You might be interested in

Which of the following is NOT one of the 5 typical sources of competitive pressures? Select one: a. The power and influence of i

allochka39001 [22]

Answer:

a. The power and influence of industry driving forces

Explanation:

As per Michael Porter, there exist five competitive forces that influence competition in an industry. The five forces as per Porter are:

Potential entrants
Industry competitors
Customers
Substitutes
Suppliers

Potential entrants refers to the risk of new entrants in the market.

Industry competitors refers to the extent of rivalry and competition between existing firms.

Customers relate to the negotiating or bargaining power of the customers and to what extent they exercise such power.

Substitutes refer to the emergence of substitute products in the market which may drive down a firm's sales.

Suppliers relate to the bargaining power exercised by suppliers with respect to inputs.

7 0

3 years ago

Joe's Juice Shop operates in a monopolistically competitive market. Joe's is currently producing where its average total cost is

mars1129 [50]

Answer:

decrease and average total cost to increase

Explanation:

Based on the information provided within the question it can be said that in this scenario we would expect Joe's output to decrease and average total cost to increase. This is mainly due to the fact that Joe's Juice Shop is in a monopolistically competitive market meaning that one company controls and dominates the entire market which will ultimately put Joe's Juice Shop out of business.

7 0

3 years ago

Read 2 more answers

Strategic management is about formulating strategies that align an organizations internal capabilities with external opportuniti

dexar [7]

Answer:

Mark Parker has been very effective as a strategist for the following reasons:

Explanation:

He has been able to keep Nike's brand equity.
His policies on HR has generated an effect which translated to increased motivation for his employees to commit to the attainment of the company's objectives
A strategist must be able to make plans and execute them. Nike's strategy is a customer-centric one. Mark was able to, regardless of the economy, ensure that Nike's products were consumer-centric and that the business units in charge of each aspect of Nike's operations were able to deliver their best.

Cheers!

7 0

3 years ago

Long-term investments include:_____.A. Investments in marketable bonds that are intended to be converted into cash in the short-

Law Incorporation [45]

Answer:

B. Investments that are not readily convertible to cash or not intended to be converted to cash in the short term

Explanation:

Long term investments are assets that a firm intends to hold onto for a period exceeding one year. They include projects, and investment vehicles are expected to generate revenue for several financial periods. Long term investments are characterized by a higher degree of risk in pursuit of greater rewards.

Examples of long term investments include bonds, stocks, plants and machinery, and real estate. Long term investments such as real estate and machinery are not easily disposed. Some are never disposed.

5 0

3 years ago

A proposed project has fixed costs of $83,000 per year. The operating cash flow at 9,100 units is $ 102,900. Ignoring the effect

natta225 [31]

Answer:

Ignoring the effect of taxes, what is the degree of operating leverage?

1.81

If units sold rise from 9,100 to 9,500, what will be the increase in operating cash flow?

$8,171.43 or 7.94%

what is the new degree of operating leverage?

1.75

Explanation:

degree of operating leverage = (units sold x contribution margin) / [(units sold x contribution margin) - fixed costs]

(units sold x contribution margin) - fixed costs] = $102,900

units sold x contribution margin = $102,900 + $83,000 = $185,900

degree of operating leverage = $185,900 / $102,900 = 1.81

contribution margin = $185,900 / 9,100 = $20.4286

operating cash flow (at 9,500 units) = (9,500 x $20.4286) - $83,000 = $111,071.43

operating cash flow will increase by $8,171.43 or 7.94%

new degree of operating leverage = $194,071.43 / $111,071.43 = 1.75

8 0

3 years ago