Related Words

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

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

Underutilization: As part of the affirmative action process, this report is used to determine whether certain members of protected groups are being inadequately represented within the workforce. The report us . . . View Full Definition

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.

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

Utilization Management: Review and analysis of health care programs to determine cost control methods. Involves reviewing claims for potential utilization problems.

Utilization Management (UM): Managing the use of medical services to ensure that a patient receives necessary, appropriate, high-quality care in a cost-effective manner.

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 Rates: The percentage of milk in federal milk marketing orders that is used in each of the classes: Class III and iiia, cheese, butter, and nonfat dry milk: Class II, all other manufactured product . . . View Full Definition