Utilization Management: A Strategy to Improve Quality and Contain Cost
Course Provider
Certifications
Learning Objectives
Recognize the role that utilization management and utilization reviewers play in driving both cost-effective and high-quality services in the payer setting.
Identify the need for balancing cost and quality in the healthcare industry.
Recall the use of evidence-based practices and medical necessity criteria within utilization management and utilization review.
Course Offering: Written/printed (enduring)
Domain Focus: Quality and Outcomes Evaluation and Measurements