Utilization Review in Workers' Compensation: Review of Current Status and Recommendations for Future Improvement.
Journal
Journal of occupational and environmental medicine
ISSN: 1536-5948
Titre abrégé: J Occup Environ Med
Pays: United States
ID NLM: 9504688
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
entrez:
6
6
2020
pubmed:
6
6
2020
medline:
6
8
2021
Statut:
ppublish
Résumé
: Utilization review (UR) is a process that assesses aspects of a treating provider's care plans and then provides recommendations to payors/insurance carriers, third party administrators, etc, concerning the appropriateness of the proposed care. UR has become an integral part of medical practice and has influenced medical care within the workers' compensation (WC) system and is mandated in several states and jurisdictions. This guidance statement from the American College of Occupational and Environmental Medicine (ACOEM) reviews structural elements of UR programs and proposes a possible template for operational standards. UR has a unique role in protecting patients and educating providers on evidence-based guidelines, new research, and best practices.
Identifiants
pubmed: 32502086
doi: 10.1097/JOM.0000000000001893
pii: 00043764-202006000-00015
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e273-e286Références
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