| 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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