Question: Utilization review (UR) is a process through which a third-party payer assesses the medical necessity of a course of treatment. Prospective review is the determination
Utilization review (UR) is a process through which a third-party payer assesses the medical necessity of a course of treatment. Prospective review is the determination of whether to pay for a treatment before the treatment is administered, concurrent review takes place during the treatment, and retrospective review takes place after the treatment.
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Utilization review UR is a critical process in healthcare management that involves assessing the appropriateness necessity and efficiency of medical s... View full answer
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