| 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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| utilization review |
A formal review of patient utilization or of the appropriateness of health care services, on a prospective, concurrent, or retrospective basis.
출처: www.woundcare.org/newsvol4n1/fy1.htm
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| utilization review |
A mechanism used by some insurers and employers to evaluate health care on the basis of appropriateness, necessity, and quality. For hospital review, it can include pre-admission certification, concurrent review with discharge planning, and retrospective review.
출처: www.gdn.edu/Faculty/jwhite/MANAGED%20CARE%20TERMS....
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| utilization review |
A system to evaluate dental use patterns that helps to identify and prevent program abuse.
출처: pahu.org/Consumer/Group_Terms.htm
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