AHIP AHM-510 Exam - Topic 1 Question 32 Discussion
Several states have adopted clinical practice guidelines for treating workers' compensation injuries. Clinical practice guidelines can best be described as
B) A utilization management and quality management mechanism designed to aid providers in making decisions about the most appropriate course of treatment for a specific case
A) Fee schedules that specify the maximum amount providers may charge for treating workers' compensation patients
C) Detailed plans of medical treatment designed to facilitate a patient's return to the workplace
D) Payment practices that might technically violate the provisions of the anti-kickback statute but that will not be considered illegal and for which providers and health plans will not be subject to penalties
Hubert
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