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The Patient Was Admitted to the Hospital in Congestive Heart

Question 49

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The patient was admitted to the hospital in congestive heart failure with the approval of the patient's insurer. After 3 days, utilization review, in conjunction with the patient's insurer, informed the physician that there was insufficient documentation in the patient's record to justify further hospitalization and that no additional charges would be reimbursed. Utilization review's action in this case is called:


A) Discharge planning
B) Admission denial
C) Continued stay denial
D) Managed care

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