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Section 8:Utilization Management .................................................................................... 81
Utilization Management Program Overview ......................................................
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What is utilization management program overview?
Utilization management program overview is a summary of the procedures and policies implemented by an organization to manage the utilization of healthcare services.
Who is required to file utilization management program overview?
All healthcare organizations are required to file utilization management program overview.
How to fill out utilization management program overview?
Utilization management program overview can be filled out by providing detailed information on the utilization management processes and strategies used by the organization.
What is the purpose of utilization management program overview?
The purpose of utilization management program overview is to ensure efficient and appropriate use of healthcare resources.
What information must be reported on utilization management program overview?
Information such as utilization review processes, criteria for authorization of services, and outcomes of utilization management activities must be reported on utilization management program overview.
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