exclusive provider organization (epo)

What should nurses know about EPOs?

Nurses should be knowledgeable about the following aspects of EPOs:
1. Network Providers: Understanding which providers and specialists are within the EPO network is crucial for guiding patients appropriately.
2. Authorization Rules: Nurses should be familiar with the authorization requirements for various treatments and procedures to prevent any denials of coverage.
3. Emergency Services: Knowing what constitutes an emergency and how EPOs handle emergency care is important for advising patients correctly.

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