Managed care clinician completed utilization review

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A managed care clinician completed a utilization review and has justdenied authorization for you to continue treating a client. Youbelieve that the client could benefit from four additional sessions.At the same time, you understand that the managed care clinician mustapply criteria of medical necessity to justify continued treatment,and you are aware that many of your agency's clients have problemsmuch more severe than your client's. Make a list of all of the waysthat you could try to ensure that the managed care system does notprevent you from giving your client the type and duration of treatmentservices that he or she needs. Categorize each of the items into twogroups reflecting those that would be considered professionallyappropriate and ethical, and those that would be considered to be aviolation of professional ethical standards.

Reference no: EM132330309

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