Which type of policy employs a third party to review intended treatment and is typically managed by a nurse?

Prepare for the Prior Authorization Certified Specialist Exam. Study with multiple choice questions, each with hints and explanations. Ace your exam with confidence!

The type of policy that employs a third party to review intended treatment and is typically managed by a nurse is a Case Management Treatment Notification. This process is designed to ensure that proposed treatments align with established medical guidelines and that they are medically necessary. In many cases, nurses or other healthcare professionals conduct these reviews to assess patient needs and coordinate care effectively.

In this context, the role of the nurse or case manager is crucial, as they often gather information, communicate with healthcare providers, and help facilitate the care process. This proactive approach aims to improve patient outcomes by addressing potential issues before they escalate and ensuring that treatment plans are appropriate.

Other options, such as Commercial Policy and Authorization, either refer to a broader range of insurance practices or different aspects of the healthcare system not specific to the case management aspect. Chiropractor does not relate to the query, as it does not refer to a policy type but rather a profession within the healthcare system. Therefore, the Case Management Treatment Notification is the most accurate answer.

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