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The paragraph below contains an incomplete statement. Select the answer choice containing the term that correctly completes the paragraph.
To manage the delivery of healthcare services to their members, health plans use clinical practice parameters. ___________________ is the type of clinical practice parameter that a health plan uses to make coverage decisions concerning medical necessity and appropriateness.
Suggested Answer: D
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34 comments · newest first
LE
Leontine
11 months ago
A standard of care doesn't fit here at all.
BR
Brittni
11 months ago
Wait, are we sure about this? Seems tricky!
ST
Stephaine
12 months ago
Benefits administration policy sounds off to me.
SA
Samuel
12 months ago
I think it's actually Medical policy.
JA
Jackie
1 year ago
A clinical practice guideline (CPG) is definitely the right choice.
AI
Aileen
1 year ago
I practiced a similar question before, and I think it was about clinical practice guidelines, so I might go with A again.
NA
Na
1 year ago
I’m leaning towards D, a standard of care, since it seems to relate to medical necessity, but I’m not completely confident.
IR
Ira
1 year ago
I remember discussing medical policies in class, so I feel like B could be the correct choice, but I need to double-check.
HO
Hollis
1 year ago
I think the answer might be A, a clinical practice guideline, but I'm not entirely sure if that's the right term for coverage decisions.
MA
Margarett
1 year ago
This seems like a straightforward application question. I'll focus on understanding the key terms in the paragraph and then match that to the answer choices to determine the best fit.
SH
Shayne
1 year ago
I'm a little confused by the wording of this question. What's the difference between a "clinical practice guideline" and a "standard of care"? I'll have to review those concepts before selecting an answer.
HU
Hubert
1 year ago
Okay, I think I've got this. The paragraph is talking about how health plans use certain parameters to make coverage decisions. The answer choice that best fits is "medical policy" since that's the type of parameter they would use for those decisions.
BL
Blondell
1 year ago
Hmm, I'm a bit unsure about this one. The paragraph mentions "clinical practice parameters" but I'm not entirely familiar with the different types. I'll need to think this through carefully.
QU
Quentin
1 year ago
This question seems straightforward. I'll carefully read the paragraph and consider each answer choice to determine which one correctly completes the statement.
KI
Kip
1 year ago
Hmm, I'm a bit unsure about this one. The cloud motif is a bit vague, and I'm not totally clear on the different roles involved in cloud computing. I'll have to think this through carefully.
MI
Misty
1 year ago
This is a good test of our understanding of the system management hierarchy. I'll methodically go through each option and consider the specific requirements outlined in the question.
CO
Corinne
1 year ago
The correct answer is obviously E. A magic 8-ball. That's how all the best health plans make their coverage decisions these days, right?
YO
Yolande
1 year ago
I'm leaning towards C. Benefits administration policy. It seems like the kind of policy that would guide coverage decisions, though I'm not 100% sure.
JI
Jimmie
1 year ago
D. A standard of care could also be a possibility
HU
Huey
1 year ago
I'm not sure, but B. Medical policy also sounds like it could be the right answer
DE
Detra
1 year ago
I agree, A sounds like it could be the correct choice
BR
Brittni
1 year ago
I think it might be A. Clinical practice guideline (CPG)
CA
Candra
1 year ago
Haha, this question is a real head-scratcher. I'm just going to go with D. A standard of care and hope for the best. That's the kind of 'clinical practice parameter' I use when I'm unsure.
BR
Brittni
1 year ago
I agree with you, I also think it's A) A clinical practice guideline (CPG).
AD
Adelaide
1 year ago
I would go with A) A clinical practice guideline (CPG).
ET
Ettie
1 year ago
I think it's B) Medical policy.
LA
Latanya
2 years ago
I'm going with A. A clinical practice guideline (CPG). It sounds like the kind of standardized approach health plans use to determine medical necessity.
AL
Alecia
2 years ago
I think the answer is B. Medical policy. That seems to be the term that best fits the description of a clinical practice parameter used for coverage decisions.
JE
Jean
1 year ago
I believe it's benefits administration policy that is used for coverage decisions.
BE
Berry
1 year ago
I think it might be a clinical practice guideline instead.
DA
Darnell
1 year ago
I agree, medical policy is the correct term for coverage decisions.
SK
Skye
2 years ago
I'm not sure, but I think it could also be B) Medical policy.
WA
Walton
2 years ago
I agree with Jenelle, CPGs are used for making coverage decisions.
JE
Jenelle
2 years ago
I think the answer is A) A clinical practice guideline (CPG).