prospective review

prospective review,

n the prior assessment by a payer or payer's agent that proposed services are appropriate for a particular patient, or the patient and the categories of service are covered by a benefits plan. See also preauthorization; precertification predetermination; and second-opinion program.
References in periodicals archive ?
The most telling study, however, was a 2012 prospective review of 5,322 patients, which found that patients who never smoked experienced significantly less pain than those who did, and that patients who quit smoking over the course of their pain management treatment experienced better outcomes than patients who continued smoking (J Bone Joint Surg Am.
Moore and colleagues present a prospective review of actual costs incurred for a pediatric pyeloplasty performed either open or laparoscopically.
The program offers a unique closed-loop solution that includes: prospective review of patient medical status and proposed procedures, determination of medical necessity and pre-negotiation for cost management opportunities; concurrent review during hospitalization to evaluate proposed cardiac interventions; and retrospective review for alignment with medically necessary care and post service negotiation for cost management opportunities.
Under the supervision of the head of the Medical Intensive Care Unit at Rashid Hospital Dr Raees Ahmad, the students put together a report titled "A prospective review of the incidences, causes and outcomes of traumatic brain injury in Dubai".
Lewis-Hall described a prospective review of pregnancy outcomes for 206 women who carried 207 fetuses, while exposed to efavirenz.
These include development of a more clinically objective scale to determine medical urgency among current Status 2A, 2B and 3 classifications; proposed prospective review of patient listing; and examination of optimally sized organ allocation areas.
Religion in the Age of Great Cities," Prospective Review I (1845): 110-111.
The affirmations are a result of the pool stable performance following Fitch's prospective review of the potential stresses to the transaction.
The standards advocated by Kaiser Permanente and ACEP are based upon the successful Kaiser Permanente Emergency Prospective Review and Critical Care Transport Program which currently operates in a number of Kaiser Permanente regions, including southern California, Colorado, and Hawaii.
The affirmations are a result of the pools stable performance following Fitch's prospective review of the potential stresses to the transaction.
NDS is in the final stages of completing its proprietary PROMIS system for prospective review and outcomes analysis for diagnostic imaging.
The affirmations are a result of the pool's stable performance following Fitch's prospective review of the potential stresses to the transaction.
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