Appropriateness Review: An analysis of healthcare services with the goal of reviewing the extent to which necessary care was provided and unnecessary care was avoided.

 

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Appropriateness Review: An analysis of healthcare services with the goal of reviewing the extent to which necessary care was provided and unnecessary care was avoided.

Reciprocal Review: An appraisal method where the subordinate and the manager are evaluated by each other based on agreed-upon performance criteria.

Progress Review: A periodic review of a capital investment project to evaluate its continued economic viability.

Review Hearings: Held by the juvenile and family court to review dispositions (usually every six months) and to determine the need to maintain placement in out-of-home care or court jurisdiction of a child.

Special Review: Formerly known as Rebuttable Presumption Against Registration (RPAR), this is a regulatory process through which existing pesticides suspected of posing unreasonable risks to human health, n . . . View Full Definition

Utilization Review Organization (URO): External reviewers who assess the medical appropriateness of suggested courses of treatment for patients, thereby providing the patient and the purchaser increased assurance of the appropria . . . View Full Definition

Utilization Review Committee: Committee that reviews utilization issues brought to it by the medical director, often approving or reviewing policy regarding coverage, reviewing utilization patterns of providers, and appr . . . View Full Definition

Utilization Review (UR): The evaluation of the medical necessity, efficiency, and/or appropriateness of healthcare services and treatment plans.

Preview Pane: The window in an email client that allows the user to scan message content without actually clicking on the message. See open rate.

Pre-Admission Certification-Continued Stay Review (PAC-CSR): The process through which the reviewer evaluates the attending physician's request for admission to an acute care hospital and length of stay. Medical necessity is determined using establish . . . View Full Definition