Potential liability in utilization review: the risk grows.
The use of cost containment measures in utilization review is a continuing topic of concern to physicians and payors. Focusing on a recent California case that dealt with this issue, this article discusses the potential liability of physicians and payors when such measures are used.
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D003363:Cost Control / Q000331:legislation & jurisprudence; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence*; D007400:Interprofessional Relations; D016365:Liability, Legal; D010819:Physician's Role; D012306:Risk; D014481:United States; D014600:Utilization Review / Q000331:legislation & jurisprudence*