HC433 Discussion 2 utilization reveiw
HC433 Discussion 2 utilization reveiw
Utilization management and review is a process to determine if health care services are being used appropriately on a patient. Often, this process is completed by a group, in-house, that may not have the hands-on patient experience or clinical knowledge that physicians have. The result of the review may provide unrealistic expectations for the clinician.
Instructions:
-
Assume the role of a manager and reflect on the utilization review process.
-
Do you think utilization is a positive process? Explain why or why not in depth, utilizing external resources as appropriate.
-
What changes would you recommend for this process?
SAMPLE ASSIGNMENT
