Development of an outpatient utilization review program.
Usage of outpatient services has reached an all time high. Insurers and employers seek means to monitor the escalating costs for providing ambulatory care. This article offers insight about the objectives of managed care groups and what they are looking for in their outpatient utilization review endeavors.
D000553:Ambulatory Care / Q000706:statistics & numerical data*; D003363:Cost Control; D004651:Employment; D007345:Insurance Claim Review; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D014481:United States; D014600:Utilization Review