Sentence examples for utilization review from inspiring English sources
noun
A review of the use of medical resources at a medical facility for purposes of cost control.
The utility of using a utilization review tool in a decision support capacity in this context is explored.
§ 456.614 Inspections by utilization review committee.
We honor his memory and his pioneering work in Utilization Review.
"There's not a lot of utilization review or prior authorization in Medicare," he said.
Mr. Supple said State Farm "wants to make sure the utilization review process is fair and objective".
(iv) Meets other requirements as CMS finds necessary to establish an effective utilization review plan.
But even if the attending physician disagrees with the adverse admission finding of the utilization review agent physician, it is the utilization review agent, not the attending physician, that makes the admission decision.
(iii) Provides that records be maintained of the meetings, decisions, and actions of the utilization review committee.
I am your doctor but in order to assemble and use this information there's a whole chain of nurses, medical technicians, records clerks, secretaries, insurance company clerks, utilization review people that have access to it.
The utilization review agent must, however, notify "the responsible social services district" of any adverse admission decision". §§ 416.9(a)(3), 421.13(a)(3).
Sections 456.101 through 456.145 of this subpart prescribe requirements for a written utilization review (UR) plan for each hospital providing Medicaid services.
