Utilization Review Utilization Management

Definition of "Utilization review (utilization management)"

James Sprenkel
  Keller Williams

Integral part of managed care health plans designed to control and limit medical expenses. This review includes: requirement of certification for admission to a health care facility; continuous analysis of the reasons for the patient to remain in the health care facility; projected date for release of the patient; and cost-effective ways of handling patients with catastrophic illnesses.

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