concurrent review

concurrent review

part of a utilization management program in which health care is reviewed as it is provided. Reviewers, usually nurses, monitor appropriateness of the care, the setting, and the progress of discharge plans. The ongoing review is directed at keeping costs as low as possible and maintaining effectiveness of care.

con·cur·rent re·view

(kŏn-kŭrĕnt rĕ-vyū)
Required examination of tests and procedures conducted while the patient is still in the hospital.
References in periodicals archive ?
TMF's concurrent review of quality measures in August 2015 revealed Texas nursing homes outpaced the nation's average reduction of the use of antipsychotics during the month of June 2015.
In 2013, the NYSPA filed a class-action suit on behalf of its members and their patients against UnitedHealthGroup for not covering mental health-related claims, citing as examples different algorithms; preauthorization; and concurrent review procedures than for medical claims, often resulting in denial of coverage.
Huff has been named manager of utilization management for ABCBS and will take responsibility over care management activities, such as pre-certification and concurrent review, associated with large in-state and national accounts.
Food and Drug Administration (FDA) and the Centers for Medicare & Medicaid Services (CMS) have launched a "parallel review" pilot program for concurrent review of medical devices for FDA approval and Medicare coverage.
As the leader of the hospital medical management efforts, many physician executives are held accountable for the success or failure (denials) of inpatient concurrent review even though they are not directly involved in managing the process.
In addition to emphasizing application completeness from the beginning and using a city-appointed project manager, the planners will also introduce the concept of concurrent review.
Steger told the media, "I asked for the creation of two different but concurrent review processes.
It begins with the author's own family members' birthing experiences and moves to a history of childbirth from ancient ancestors to modern times, providing a concurrent review of changing methods, cultural influences, and childbirth experiences.
Certain CFS line items that will be subject to our concurrent review because of their significance, such as the federal employee and veteran benefits payable line item, involve federal agencies' significant actuarial estimations.
Instead of a 'waterfall'-style process, which only produces results at the end of a long project, lean development encourages short, iterative working patterns with concurrent review and feedback, with new, usable software released regularly throughout.
McKenzie-Willamette argued during a two-day hearing last week that state procedures don't require site control in order to grant a request for concurrent review.

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