Tag: utilization management

Evidence-Based Reporting in Independent Medical Reviews: Abounding in Benefits

Clear communication is essential in many facets of life. Whether it’s a teacher telling students about classroom rules or a physician explaining a diagnosis to a patient, providing easy-to-understand direction is important. This need for clear and open communication is evident in the healthcare industry because it can make the difference in outcomes, patient safety, […]

Utilization Review (UR) for Sarcoma Treatment

Individuals battling sarcoma will undergo countless tests, procedures and treatments over the course of months or years. The goal of Utilization Review is for patients to receive the best care possible. Insurers use an evidence-based approach during Utilization Review to make sure patients do not receive duplicate or un-proven procedures.   Utilization Review During Sarcoma […]

URAC accreditation: What does it mean?

In the late 1980s, there were no existing uniform standards for utilization review services, raising concern within the industry and highlighting a need for oversight. The Utilization Review Accreditation Commission was incorporated in 1990 to offer health organizations an opportunity to have trained reviewers examine their operations and publicly ensure they are delivering care in […]

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