Utilization review, or the process of reviewing an episode of care, is often necessary to justify charges and payments to an insurance company and can also be valuable in determining the best course of action to care for a patient. Encouraging complete documentation and oversight is paramount to running a successful practice. The system of…
Balancing high-quality care for your patients while still operating your organization with proper efficiency and economic oversight can be a difficult task for many. In the racetrack that the healthcare industry has become, hospitals and other healthcare practices must stay nimble to ensure that quality care and financial stability remain hand-in-hand. Utilization management in healthcare…
There is a need to have checks and balances in every organization to ensure that the very best care is always provided. Utilization reviews, in a way, help to make that happen. What is a utilization review? Why are they so important to patient care and overall practice management? These reviews provide a great deal…
