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Concurrent drug utilization review refers to conducting the review concurrently with the process of dispensing medication for patients. [11] It means that the dispensing process will stop if a potential problem occurs and it is found by the review.
Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its medical appropriateness before it is provided, by using evidence-based criteria or guidelines.
Other features of a preferred provider organization generally include utilization review, where representatives of the insurer or administrator review the records of treatments provided to verify that they are appropriate for the condition being treated rather being largely, or solely, being performed to increase the number of people due.
State of Ohio Awards Mental Health Utilization Review Contract to Permedion WESTERVILLE, Ohio--(BUSINESS WIRE)-- Permedion, a wholly owned subsidiary of HMS, Inc., announced today that it has been ...
None had a record quite as bad as Serenity, but the review did yield dozens of examples where a hospice was found to have endangered patient safety or otherwise failed to perform a core hospice mission – such as offering counseling – sometimes across multiple inspections.
DUR can be performed in prospective, concurrently, or retrospectively. Prospective DUR review is when a patient's planned drug therapy is evaluated before a medication is dispensed. Concurrent review is performed during the course of treatment with ongoing drug therapy. A retrospective DUR reviews drug therapy after the drug therapy is completed.
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1] [2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review).
Ted Danson Delights in Netflix's Brilliant Mystery Comedy 'A Man on the Inside': TV Review. ... The event peaked at 65 million concurrent streams, with 38 million concurrent streams in the U.S.