What Is Utilization Review? - InsuranceGuide360.com

What Is Utilization Review? Utilization review is a critical process in the insurance industry that evaluates the necessity and efficiency of medical services to ensure patient care is optimal. This comprehensive process involves prospective, concurrent, and retrospective reviews by healthcare professionals to assess the appropriateness of treatments provided. By utilizing evidence-based medicine and clinical best practices, utilization review helps control healthcare costs and improve patient outcomes.
Learn more about the importance of utilization review and how it impacts the healthcare system in our latest video. Discover the key steps involved in the utilization review process and how insurance companies make decisions regarding medical services. Understanding utilization review is crucial for ensuring that healthcare resources are utilized efficiently while maintaining high standards of patient care.
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