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November 16, 2022

A patient is readmitted to the hospital after the development of complications from surgery. The PPO preathorized a stay of 4 days

A patient is readmitted to the hospital after the development of complications from surgery. The PPO preathorized a stay of 4 days. On the third day, the physicians determined that the patient would require an extra 2 days in the hospital. The PPO’s approval was obtained. Which type of utilization management tool would be necessary to determine whether the extra 2 days were necessary? Utilization

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