Utilization review (UR) involves tracking and reviewing care provided to patients to ensure efficiency and quality in healthcare.
Utilization review (UR) is a method of tracking, reviewing, and rendering opinions regarding care provided to patients, required by the Centers of Medicare and Medicaid Services (CMS). It involves an investigation by insurance agencies to ensure efficient use of resources while meeting patient needs. Utilization review relies on informatics to collect meaningful data and promote quality care in the healthcare system.
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