AHIP Medical Management AHM-540 Question # 69 Topic 3 Discussion
AHM-540 Exam Topic 3 Question 69 Discussion:
Question #: 69
Topic #: 3
Many health plans use clinical pathways to help manage the delivery of acute care services to plan members. One true statement about clinical pathways is that they
A.
determine which healthcare services are medically necessary and appropriate for a particular patient in a particular situation
B.
outline the services that will be delivered, the providers responsible for delivering the services, the timing of delivery, the setting in which services are delivered, and the expected outcomes of the interventions
C.
cover only services delivered in an acute inpatient setting
D.
address medical conditions that affect a small segment of a given population and with which the majority of providers are unfamiliar
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