utilization review

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utilization review

n.
A process for monitoring the use and delivery of services, especially one used by a managed care provider to control health care costs.

utilization review

Utilization control, utilization management Managed care Evaluation of the necessity–eg, for surgery or other therapy, appropriateness–of admissions or of services ordered, and efficiency of the use of health care services, procedures, and facilities. See Utilization.

utilization review

Evaluation of the necessity, quality, effectiveness, or efficiency of medical services, procedures, and facilities. In regard to a hospital, the review includes appropriateness of admission, services ordered and provided, length of stay, and discharge practices.