Trends in utilization management: legal implications for health records administration.
Utilization management will continue, under whatever label or within whatever framework, to demand the attention of records administrators. Since all quality and utilization review is ultimately based on the data in the medical record, the role of health record administrators is central to this activity. As programs and requirements continue to evolve, successful health care providers will draw on educated records professionals to assist in successful management strategies.
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D003363:Cost Control; D007343:Insurance Carriers / Q000331:legislation & jurisprudence; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence; D008500:Medical Records Department, Hospital / Q000331:legislation & jurisprudence*; D011366:Professional Review Organizations / Q000331:legislation & jurisprudence; D012308:Risk Management / Q000331:legislation & jurisprudence*; D014481:United States; D014600:Utilization Review / Q000331:legislation & jurisprudence*