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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 utilization management um processes?
Utilization management processes involve assessing, monitoring, and improving the use of healthcare resources to ensure quality care and cost-effectiveness.
Who is required to file utilization management um processes?
Healthcare providers, insurers, and managed care organizations are required to file utilization management processes.
How to fill out utilization management um processes?
Utilization management processes can be filled out by documenting clinical guidelines, prior authorization criteria, and utilization review procedures.
What is the purpose of utilization management um processes?
The purpose of utilization management processes is to optimize healthcare resources, improve quality of care, and control costs.
What information must be reported on utilization management um processes?
Information such as utilization data, outcome measures, and compliance with guidelines must be reported on utilization management processes.
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