Exit AHM-540 Medical Management
Question 4 of 5
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Q4 Single choice

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.

  • A

    A clinical practice guideline (CPG)

  • B

    Medical policy

  • C

    Benefits administration policy

  • D

    A standard of care