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Understanding Medical Management
Understanding Medical Management
MCO treatment guidelines for medical management of claims

Managed care organizations (MCOs) use nationally recognized treatment guidelines to evaluate the necessity and/or effectiveness of medical care. They also use these guidelines to communicate with and educate providers in all decision correspondence

Managed care organizations (MCOs) use nationally recognized treatment guidelines to evaluate the necessity and/or effectiveness of medical care. They also use these guidelines to communicate with and educate providers in all decision correspondence