What is the purpose of the Utilization Review Committee (URC)?

Prepare for the North Carolina Medicare Supplement and Long-Term Care Agent Test with flashcards and multiple-choice questions. Each comes with hints and explanations. Ace your exam confidently!

The Utilization Review Committee (URC) plays a crucial role in the healthcare system by overseeing the use of healthcare services and resources. This committee evaluates and ensures that the services provided to patients are necessary, appropriate, and delivered efficiently. By assessing the utilization of healthcare resources, the URC aims to improve patient care quality while controlling costs.

The committee examines various data, including treatment plans and outcomes, to make informed decisions about healthcare practices, contributing to better healthcare management and patient safety. It ensures that patients receive the right care at the right time, ultimately supporting the goals of both quality patient care and effective resource management.

Other options, such as training healthcare practitioners, handling patient admissions, or managing billing and coding practices, do not align with the core function of the URC, which is specifically focused on the review and oversight of healthcare service utilization.

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