Some Managed Care Plans Contract Out Utilization Management Services to a Utilization

Multiple Choice

Some managed care plans contract out utilization management services to a utilization review organization (URO) , which is an entity that __________.

A) conducts a quality management program and completes focused review studies and medical audits
B) establishes a utilization management program and performs external utilization review services
C) performs risk management activities that result in appropriate in-service education for medical staff
D) provides a service to the organization to ensure that physicians have met credentialing requirements