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Utilization Review

Known as: Reviews, Utilization, review utilization, Review, Utilization 
An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the… 
National Institutes of Health

Related topics

Related topics

3 relations
Insurance Claim Reviewlegislation & jurisprudencestandards characteristics

Papers overview

Semantic Scholar uses AI to extract papers important to this topic.
Review
2005
Review
2005
Confronting utilization review in New Mexico's Medicaid mental health system: the critical role of "medical necessity".
The insertion of managed care into Medicaid services for the mentally ill has created contention about clinical decision making… 
Review
2000
Review
2000
How valid are utilization review tools in assessing appropriate use of acute care beds?
BACKGROUND Despite their widespread acceptance, utilization review tools, which were designed to assess the appropriateness of… 
Review
2000
Review
2000
Utilization review: a powerful social work role in health care settings.
During the past decade, social work in health care has undergone major changes. The growth of managed care and the… 
Review
1997
Review
1997
What do managed care plans do to affect care? Results from a survey of physicians.
Little is known about physicians' exposure to managed care techniques that affect clinical practice. In 1995, we conducted a… 
Review
1995
Review
1995
An overview of Spanish studies on appropriateness of hospital use.
This paper is an overview of hospital utilization review in Spain. Most of the hospital utilization studies have used the… 
Review
1993
Review
1993
Hospital Utilization Reviews Under Field Conditions: Potential and Improvements
Abstract Hospital reviews based on an adaptation of Gertman and Restuccia's Appropriateness Evaluation Protocol were performed by… 
Review
1990
Review
1990
Position paper on the appropriate use of emergency air medical services. Association of Air Medical Services.
Review
1976
Review
1976
Quality assurance: the cost of utilization review and the educational value of medical audit in a university hospital.
: The components of mandated quality assurance, that is, utilization review (UR) and medical audit, have been analyzed to… 
Review
1972
Review
1972
Use of utilization review to assess the quality of pediatric inpatient care.
Between 100 and 123 medical records of children hospitalized in each of three community hospitals and one major teaching hospital… 
Review
1972
Review
1972
A semi-Markov model to predict recovery progress of coronary patients.
Abstract A transient semi-Markov model for predicting the recovery progress of coronary patients is described. Making use of the… 
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