Get the free Surveillance and Utilization Review Section (SURS) Referral (SFN 20)

SURVEILLANCE AND UTILIZATION REVIEW SECTION (SURE) REFERRAL DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES DIVISION Clear Fields SON 20 (7-2015) This form is to be used by a provider, individual, or

How to fill out surveillance and utilization review

How to fill out surveillance and utilization review:

1. Start by gathering all relevant information, such as medical records, lab results, and any other documentation related to the patient's condition or treatment.
2. Review the patient's medical history and treatment plan thoroughly to ensure that all necessary information is included in the surveillance and utilization review form.
3. Provide a detailed description of the patient's current status, including their symptoms, progress, and any changes in their condition.
4. Include the dates and details of any medical procedures or treatments that have been performed or recommended for the patient.
5. Clearly document all medications that the patient is currently taking, including dosage and frequency.
6. Assess the patient's level of functionality and any limitations they may have due to their condition.
7. Include any relevant information about the patient's lifestyle or social factors that may impact their treatment or prognosis.
8. Provide a concise summary and conclusion, highlighting any recommendations or action plans for the patient's further care.
9. Ensure that the form is accurately completed, signed, and dated.
10. Submit the surveillance and utilization review form to the appropriate authority or organization responsible for reviewing and processing such documentation.

Who needs surveillance and utilization review:

1. Healthcare providers and medical professionals use surveillance and utilization review to assess the appropriateness, quality, and necessity of medical services provided to patients.
2. Insurance companies and third-party payers utilize surveillance and utilization review to evaluate the cost-effectiveness and medical necessity of treatments and procedures.
3. Government agencies and regulatory bodies may require surveillance and utilization review to monitor healthcare practices, ensure compliance with regulations, and control healthcare costs.
4. Patients and their families can also benefit from surveillance and utilization review as it helps to ensure that they receive appropriate and effective care and treatment.

Note: This answer provides a general overview and may vary depending on the specific context and regulations of surveillance and utilization review in different jurisdictions or healthcare systems.

For pdfFiller’s FAQs

What is surveillance and utilization review?

Surveillance and utilization review is the process of monitoring and evaluating the use of healthcare services to ensure they are appropriate, necessary, and cost-effective.

Who is required to file surveillance and utilization review?

Medical providers, insurers, and healthcare facilities are typically required to file surveillance and utilization review.

How to fill out surveillance and utilization review?

Surveillance and utilization review forms are typically filled out with information about the patient, the healthcare services provided, and the reasons for the treatment.

What is the purpose of surveillance and utilization review?

The purpose of surveillance and utilization review is to ensure that healthcare services are being used appropriately and efficiently.

What information must be reported on surveillance and utilization review?

Information such as the patient's diagnosis, treatment plan, length of stay, and any complications must be reported on surveillance and utilization review.

How can I send surveillance and utilization review for eSignature?

To distribute your surveillance and utilization review, simply send it to others and receive the eSigned document back instantly. Post or email a PDF that you've notarized online. Doing so requires never leaving your account.

How do I complete surveillance and utilization review online?

Easy online surveillance and utilization review completion using pdfFiller. Also, it allows you to legally eSign your form and change original PDF material. Create a free account and manage documents online.

Can I edit surveillance and utilization review on an Android device?

You can. With the pdfFiller Android app, you can edit, sign, and distribute surveillance and utilization review from anywhere with an internet connection. Take use of the app's mobile capabilities.