(PACS) Prior Authorization Certified Specialist Practice Test
PACS PACS Clinical Review & Utilization Management
What is the primary purpose of utilization management (UM) in the prior authorization process?
Select your answer
A
To increase the profitability of insurance companies
B
To ensure that healthcare services are medically necessary, appropriate, and cost-effective
C
To reduce the number of physicians allowed to prescribe specialty drugs
D
To standardize patient co-payments across all health plans
Hint
