Managed care, or Scope hits the Sphinx
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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
1University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, Sewell 08080, USA.
Abstract:
This article presents a hypothetical fact pattern, in which preapproval for endoscopic retrograde cholangiopancreatography is denied by a managed care plan, to address the issues concerning potential liability for this decision. I described several risk management strategies for this situation designed to reduce the risk of a successful suit against a physician.
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