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14. UTILIZATION MANAGEMENT
A. Utilization Management Delegation and MonitoringAPPLIES TO:
A. This policy applies to all IEP Medical Members.POLICY:
A.IEP is responsible for the development, implementation,
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What is to perform um activities?
Performing UM activities involves engaging in tasks related to utilization management in healthcare.
Who is required to file to perform um activities?
Healthcare providers, insurance companies, and other entities involved in utilization management may be required to file to perform UM activities.
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To perform UM activities, one must follow the guidelines and procedures set forth by regulatory bodies and industry standards.
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The purpose of performing UM activities is to ensure that healthcare resources are used efficiently and effectively.
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Information such as patient demographics, medical procedures, and outcomes may need to be reported when performing UM activities.
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