ITEMS IN FPM ON TOPIC:
Utilization management and review
Getting insurer approval for treatment can take hours out of your week. Here are some ways to reduce the pain.
The author, who writes from experience inside a managed care organization, offers suggestions for making the precertification process easier.
The authors offer readers an action plan to use in reacting/responding to payers' accusations of incorrect coding.
The author, a physician who has been on both sides of utilization review, will help readers understand the concurrent hospital review process.