Utilization Review Basics (Medi-Cal)
In this course, we will discuss the elements of the utilization review process, how to assign and change patient statuses, as well as measure the success of utilization review processes.
- Identify the purposes of the utilization review, or UR, process
- Name the requirements, elements, and the three types of utilization review
- Identify the requirements and important considerations for assigning and changing patient status
- Identify the key metrics utilization review plans should track and the importance of monitoring short inpatient stays
Advance Preparation: None
Program level: Basic
Delivery Method: Self-study
CPE Field of Study: Specialized Knowledge
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