Utilization review

Posted on Updated on

Critics of utilization review frequently are concerned that many of those persons participating in a utilization review are in fact practicing medicine. Although UR is conducted prospectively, it is used to authorize or refuse proposed treatments, referrals, and even hospital admissions.

  1. Does UR constitute “practicing medicine” and if so should UR be limited to only those medical professionals licensed to practice medicine?
  2. Discuss who you think should head the utilization review program and justify your answer.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s