| utilization review |
A systematic means to review and control patients' use of medical care services as well as the appropriateness and quality of that care. Usually involves data collection, review and/or authorization, especially for services such as specialists, emergency room use and hospitalization. Also known as utilization management or control.
출처: www.insurance.wa.gov/consumers/glossary.asp
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| utilization review |
Evaluation of the necessity, appropriateness and efficiency of the use of medical services and facilities.
출처: www.personal-injury-help-center.org/Glossary_of_Te...
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| utilization review |
A general term for an insurance or managed care plan's review of the health care provided to its members. This includes such activities as granting prior approval before hospitalization or doing certain procedures; coordinating a patient's care and rehabilitation once they have left the hospital; and making decisions about whether a second opinion is necessary .
출처: missourifamilies.org/features/healtharticles/healt...
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| utilization review |
The process of assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. UR may include review of appropriateness of admissions, services ordered and provided, length of stay, and discharge practices, both on a concurrent and retrospective basis.
출처: www.healthinsurecoverage.com/health_care_terms_glo...
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| utilization review |
A review and approval of an in-patient hospital service or services provided, or to be provided, to a patient enrolled in a managed care plan. The review determines if the care is Medically Necessary. The utilization review may be performed by the managed-health-care plan or by an organization or entity acting as an agent for the managed-care plan. ...
출처: www.northshorelij.com/body.cfm
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