There are several types of drug utilization reviews
The PCP agreement discloses the physician's capitation fees, the services he or she is expected to perform, and his or her responsibilities relating to utilization review
Further research is needed that takes advantage of larger numbers and more detailed and recent clinical information in order to definitively elucidate any relationship that might exist between utilization review
decisions and quality of care.
Fortunately, managed care organizations (MCOs) integrated quality with utilization review
as a model for utilization management in the late 1980s.
Even though job descriptions were written so that communication and interpersonal skills were required, a plan was formulated to educate the care coordinators in these personal growth skills as well as assertiveness, interpersonal problem solving, and the financial skills of utilization review
, admission authorization, and discharge planning.
Clearly, the risk of managed health care litigation is an ever-present danger for corporations that use managed care or utilization review
. In addition to the Health Net case, hundreds of other cases have appeared in recent years.
Every time he goes to the hospital, this man must notify the utilization review
California State Fund Launching Utilization Review
(UR) has become a hot issue in workers compensation recently, with states such as California making changes to its regulations in an attempt to reduce treatment delays and ensure quality by requiring utilization review
organizations (UROs) to attain accreditation.
David Allara, MD is known in the addictions industry for his work in the billing and Utilization Review
Departments of drug and alcohol treatment centers.
Weinman is a charter diplomate of the American Board of Family Practice and board certified in quality assurance and utilization review
. He is also a Certified Healthcare Compliance Officer.
in workers' compensation is one of the many tools we have available to ensure that an injured employee receives the best, most appropriate medical care necessary to achieve a quick and sustainable return to work.