Utilization Management: Review Process
Course Provider
Certifications
Learning Objectives
Recall the function of utilization review (UR) and the structure of the utilization management (UM) committee.
Apply the concepts of the UR process, including how to use UR criteria to determine medical necessity.
Identify the common types of utilization reviews and their key features.
Course Offering: Written/printed (enduring)
Domain Focus: Care Delivery and Reimbursement Methods, Quality and Outcomes Evaluation and Measurements