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Question ID 21620

The following statements are about health plans development of medical policies. Three of
the statements are true and one is false. Select the answer choice containing the FALSE
statement.

Option A

Technology assessment is applicable only to medical policy development for new medical procedures, devices, drugs, and tests.

Option B

 Technology assessment provides the scientific rationale for the medical policy section that specifies when a medical service is appropriate and when it is not.

Option C

The medical policy development process includes both a clinical and an operational review of a proposed medical policy.

Option D

The decision to accept or reject a proposed medical policy often depends on how a new technology compares to currently used interventions.

Correct Answer A
Explanation


Question ID 21621

For this question, if answer choices (A) through (C) are all correct, select answer choice
(D). Otherwise, select the one correct answer choice.
Ways that workers compensation health plans can help control the costs of job-related
injuries and illnesses include

Option A

 applying strict definitions of medical necessity

Option B

 developing prevention and recovery programs

Option C

applying out-of-network benefit reductions

Option D

all of the above

 

Correct Answer B
Explanation

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