| PDUR | Predischarge Utilization Review |
|---|---|
| QAUR | quality assurance and utilization review |
| SURS | solitary ulcer of rectum syndrome; surveillance and utilization review |
| UR | unconditioned reflex; upper respiratory; uridine; urinal; urology; utilization review |
| URAC | Utilization Review Accreditation Commission |
| physician payment review commission | A commission created by the consolidated omnibus reconciliation act of 1985, enacted in 1986, and given the mandate to advise congress on medicare-physician payment. The commission members are appointed by the u.s. Office of technology assessment. (12 Dec 1998) |
|---|---|
| concurrent review | Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment. (12 Dec 1998) |
| professional review organizations | Organizations representing designated geographic areas which have contracts under the pro program to review the medical necessity, appropriateness, quality, and cost-effectiveness of care received by medicare beneficiaries. Peer review improvement act, pl 97-248, 1982. (12 Dec 1998) |
| scientific integrity review | Designation for reports by the united states office of research integrity, identifying questionable research published in articles or books. Notification of the questionable data is carried in the nih guide for grants and contracts. (12 Dec 1998) |
| insurance claim review | Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality. (12 Dec 1998) |
| 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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