Service utilization review definition
Service utilization review means evaluation and determination of the reason- ableness, necessity and appropriateness of a worker’s use of medical care resources and the provision of any needed assistance to clinician or member, or both, to ensure ap- propriate use of resources. “Service utiliza- tion review” includes prior authorization, concurrent review, retrospective review, dis- charge planning and case management activ- ities.
Service utilization review means evaluation and determination of the reasonableness, ne- cessity and appropriateness of a worker’s use of medical care resources and the provision of any needed assistance to clinician or member, or both, to ensure appropriate use of resources. “Service utilization review” includes prior authorization, concurrent review, retrospective review, discharge planning and case management activities.
Service utilization review means evaluation and determination of the reason- ableness, necessity and appropriateness of a worker’s use of medical care resources and the provision of any needed assistance to clinician or member, or both, to ensure ap- propriate use of resources. “Service utiliza- tion review” includes prior authorization,
More Definitions of Service utilization review
Service utilization review means evaluation and determination of the reasonable- ness, necessity and appropriateness of a worker’s use of medical care resources and the provision of any needed assistance to clinician or member, or both, to ensure appropriate