Health / Health Insurance / Utilization Review (UR): The evaluation of the medical necessity, efficiency, and/or appropriateness of healthcare services and treatment plans.
Search Google for Utilization Review (UR):
Review Noun Synonyms: survey, examine, regard, look at, study, con, consider, weigh, inspect, look over, scrutinize
Review Verb Synonyms: criticize, critique, assess, judge, evaluate, give one's opinion of, comment on or upon, discuss
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Business / Human Resources (HR) / Underutilization: As part of the affirmative action process, this report is used to determine whether certain members of protected groups are being inadequately represented within the workforce. The report uses informa MORE
Business / Agriculture / Special Review: Formerly known as Rebuttable Presumption Against Registration (RPAR), this is a regulatory process through which existing pesticides suspected of posing unreasonable risks to human health, non-target MORE
Lifestyle / Adoption / Review Hearings: Held by the juvenile and family court to review dispositions (usually every six months) and to determine the need to maintain placement in out-of-home care or court jurisdiction of a child. MORE
Business / Human Resources (HR) / Reciprocal Review: An appraisal method where the subordinate and the manager are evaluated by each other based on agreed-upon performance criteria. MORE
Business / Human Resources (HR) / Utilization Management: Review and analysis of health care programs to determine cost control methods. Involves reviewing claims for potential utilization problems. MORE
Health / Health Insurance / Utilization Management (UM): Managing the use of medical services to ensure that a patient receives necessary, appropriate, high-quality care in a cost-effective manner. MORE