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Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
A pre-certification video is any videotape or laserdisc issued in the UK before the introduction of the 1984 Video Recordings Act.. Pre-certification videos were not required by law to be submitted to the BBFC so the era was unregulated, leading to many uncut releases of videos which would have fallen foul of the BBFC's strict guidelines, and would therefore have been censored if submission to ...
A Praxis test is one of a series of American teacher certification exams written and administered by the Educational Testing Service. Various Praxis tests are usually required before, during, and after teacher training courses in the U.S. To be a teacher in about half of the states in the US, the Praxis test is required.
Certification and accreditation is a two-step process that ensures security of information systems. [1] Certification is the process of evaluating, testing, and examining security controls that have been pre-determined based on the data type in an information system. The evaluation compares the current systems' security posture with specific ...
Verification is intended to check that a product, service, or system meets a set of design specifications. [6] [7] In the development phase, verification procedures involve performing special tests to model or simulate a portion, or the entirety, of a product, service, or system, then performing a review or analysis of the modeling results.
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After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.
Operational acceptance testing (OAT) is used to conduct operational readiness (pre-release) of a product, service or system as part of a quality management system. OAT is a common type of non-functional software testing, used mainly in software development and software maintenance projects. This type of testing focuses on the operational ...