Utilization management and review

Jun 2006 Issue
Precertification, Denials and Appeals: Reducing the Hassles [Feature]

The author, who writes from experience inside a managed care organization, offers suggestions for making the precertification process easier.

Jun 2005 Issue
Are You Prepared to Defend Your Coding? [Getting Paid]

The authors offer readers an action plan to use in reacting/responding to payers' accusations of incorrect coding.

Mar 2001 Issue
Tips to Help Take the Hassle Out of Inpatient Utilization Review [Feature]

The author, a physician who has been on both sides of utilization review, will help readers understand the concurrent hospital review process.

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