HC 433 Herzing University Utilization Review Process Discussion

Unit 3 Discussion 2 – Utilization Review
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Discussion: Unit 3, Due Friday by 11:59 pm

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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.