Utilization Review Basics (Medicaid)
In this course, we will discuss the elements of the utilization review process, how to assign and change patient statuses, as well as how to 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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