A national perspective on UR (utilization review).
Quality of care is the responsibility of each and every attending physician. There are many definitions of quality, none of which encompasses the universe of medical practice. Care that is neither medically necessary nor appropriate can never be considered good, no matter who renders it or how good the outcome. It is upon these premises that utilization review firms focus.
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D003211:Concurrent Review / Q000458:organization & administration*; D007345:Insurance Claim Review / Q000458:organization & administration*; D007348:Insurance, Health / Q000458:organization & administration*; D010380:Peer Review; D010820:Physicians / Q000592:standards; D014481:United States; D014600:Utilization Review / Q000458:organization & administration*