review can be either Prospective, Concurrent, or Retrospectively, as explained earlier. Review can be at any or all of these points in treatment.
By:
edward hulsel
Finance>
Insurancel
Jan 24, 2011
Insurance Continuing Education – Medical Case Management
Like Utilization Management, a third party, other than the healthcare provider and the patient, becomes involved in the treatment process and is necessary for Medical Case Management. While Utilization Management involves only the provider of medical care services, whether hospital, doctor or specialist, Medical Case Management intervenes with both the provider and the patient, taking a much more active role in the treatment process.
By:
edward hulsel
Finance>
Insurancel
Jan 24, 2011
Insurance Continuing Education – Managed Care Utilization
Realizing that more action must be taken, insurers decided to review the procedures of more than just
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