Managed Healthcare ExecutiveFreedman, S. (2006). Understand the nuances of utilization review and utilization management. Retrieved May 5, 2010 from http://managedhealthcareexecutive. modernmedicine.com/mhe/article/articleDetail.jsp?id=282713
Correlation Healthcare professionals usually distinguish utilization review from utilization management, yet both activities often interrelate. For example, a hospital's general operations manager may direct a department head or nurse-in-charge to review patient care procedures and ensure that patients rece...
AllMed provides utilization management and independent medical review services that support optimal member outcomes and appropriate utilization
1. 利用管理 ...管理 (Resource Management):利用管理(Utilization Management),资源分配管理(Assignment Management),需求计划(Ne… group.vsharing.com|基于17个网页 2. 医疗服务使用情况管理 什么意思... ... maximum utilization 最大负荷;最高利用系数utilization management医疗服务使用情况管理;利用管理 ... ...
utilization review Utilization control, utilization management Managed care Evaluation of the necessity–eg, for surgery or other therapy, appropriateness–of admissions or of services ordered, and efficiency of the use of health care services, procedures, and facilities. See Utilization. McGraw-Hill ...
; on a per assignment basis; or on a per savings basis.The scope of the firm's review includes the following factors: Appropriateness of care (including medical necessity and large case management) Accuracy of charges and fees (hospital bill audit, reasonable and customarycharges, e.g.)....
The meaning of UTILIZATION REVIEW is a critical evaluation (as by a physician or nurse) of health care services provided to patients that is made especially for the purpose of controlling costs and monitoring quality of care.
At Maxon, we approach Utilization Review/Case Management somewhat differently than most organizations providing similar services. Instead of making the process adversarial, Maxon brings the patient into the process as early as possible to make it as cooperative as possible. We have found that patients...
The conservation and utilization of biodiversity resources often conflict against each other during the development of human society, but can be harmonized. The management of biodiversity resources is the fundamental approach to keep the two issues of realizing sustainable utilization of biodiversity ...
This lesson unrolls the dynamic world of utilization management and review in healthcare, linking the quality initiatives that can reduce costs and...