Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health...
22 KB (2,482 words) - 18:29, 11 October 2024
Wiktionary, the free dictionary. Rental utilization - economy Capacity utilization - load on some process Utilization management - medicine This disambiguation...
171 bytes (51 words) - 02:31, 26 May 2020
insurance company more, and therefore the insurance company may apply utilization management to deny coverage. In 2004, a study found that emergency room visits...
63 KB (7,582 words) - 14:53, 11 June 2025
Management (PBM) is a set of medical practices designed to optimise the care of patients who might need a blood transfusion. Patient blood management...
25 KB (2,815 words) - 03:14, 15 May 2025
announced that Watson's first commercial application would be for utilization management decisions in lung cancer treatment, at Memorial Sloan Kettering...
80 KB (7,470 words) - 19:33, 9 June 2025
Prior authorization, or preauthorization, is a utilization management process used by some health insurance companies in the United States to determine...
15 KB (1,465 words) - 06:19, 16 February 2025
modern 77% capacity utilization now would be equivalent to a historical level of 70%. If market demand grows, capacity utilization will rise. If demand...
11 KB (1,382 words) - 15:18, 23 August 2024
Aquino, CESO III. The new division is attached under the Energy Utilization Management Bureau and will report to Energy Undersecretary Sharon Garin. It...
8 KB (489 words) - 13:20, 10 June 2025
nursing Transplantation nursing Travel nursing Urology nursing Utilization management Vascular Access Wound care List of nursing credentials Florence...
3 KB (246 words) - 03:34, 19 March 2025
utilization and rental rates". Rental Management Magazine. "How utilization affects profitability". RentalPulse. Renting Look up rental utilization in...
3 KB (439 words) - 12:10, 24 October 2020
data management. Identity and access management systems not only identify, authenticate, and control access for individuals who will be utilizing IT resources...
28 KB (3,116 words) - 19:57, 8 June 2025
Managed care (redirect from Physician practice management)
incentivized to use Formal utilization review and quality improvement programs including disease management and case management An emphasis on preventive...
35 KB (4,188 words) - 03:10, 26 May 2025
maximizes knowledge utilization to accomplish organizational goals. Courses in business administration, information systems, management, libraries, and information...
66 KB (6,700 words) - 05:48, 11 June 2025
coordination. The goals of Case Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with...
14 KB (1,665 words) - 09:49, 24 August 2023
intended to give assistance to people using a particular system Utilization management, the evaluation of the appropriateness, medical need and efficiency...
2 KB (217 words) - 13:54, 5 June 2025
(February 2011). "Estimating utilization distributions with kernel versus local convex hull methods". The Journal of Wildlife Management. 75 (2): 413–422. doi:10...
2 KB (214 words) - 04:36, 2 July 2021
Unnecessary health care (redirect from Over-utilization)
physicians and detect overuse. Utilization review has a poor reputation among most clinicians as a corrupted system in which utilization reviewers have their own...
50 KB (5,590 words) - 14:48, 23 January 2025
reduction by an insurer is the reason for de facto denials as part of utilization management, it can lead to healthcare rationing through denials of care or...
8 KB (813 words) - 15:12, 4 April 2025
whether Medicare will pay for an item or service. It is a form of utilization management and forms a medical guideline on treatment. Medicare coverage is...
6 KB (639 words) - 04:23, 18 February 2025
Wellpath (redirect from Conmed Healthcare Management)
Emergency and hospitalization arrangements Utilization management Pharmaceutical supply and medication management Third-party reimbursement follow-up and...
15 KB (1,338 words) - 16:31, 25 January 2025
Human resource management (HRM) is the strategic and coherent approach to the effective and efficient management of people in a company or organization...
54 KB (5,989 words) - 23:55, 4 June 2025
including acquisition, control, accountability, responsibility, maintenance, utilization, and disposition. An owner of a single-family home, condominium, or multi-family...
38 KB (4,494 words) - 09:11, 11 June 2025
Archived from the original on 27 March 2019. "ENLISTED ASSIGNMENTS AND UTILIZATION MANAGEMENT AR 614-200" (PDF). Department of the Army. 25 January 2019. Archived...
13 KB (1,485 words) - 19:09, 16 May 2025
particular, how actual and planned performance are related. Optimum utilization of available resources. Cost maintenance. Collaboration with each teammate...
10 KB (1,158 words) - 22:09, 23 May 2025
into the future as far as is reasonable. The goal is to achieve 100% utilization but that is very unlikely, when weighted by important metrics and subject...
5 KB (542 words) - 11:01, 27 May 2024
URAC (redirect from Utilization Review Accreditation Commission)
programs include specialty pharmacy, digital health, utilization management, health plan, case management, and others. In order to earn an accreditation, organizations...
3 KB (204 words) - 16:08, 20 October 2024
data management processes with decision-making and performance goals. By focusing on each stage, the model ensures that data is effectively utilized to...
13 KB (1,328 words) - 04:18, 19 May 2025
Software asset management (SAM) is a business practice that involves managing and optimizing the purchase, deployment, maintenance, utilization, and disposal...
11 KB (1,348 words) - 11:08, 26 March 2025
top-level guidelines. Healthcare payers such as insurers practicing utilization management also publish guidelines. Special computer software packages known...
17 KB (1,940 words) - 23:30, 16 June 2025
and comparison with international regions: Management and technologies in treatment and resource utilization". Journal of Cleaner Production. 293: 126144...
98 KB (11,881 words) - 15:53, 17 June 2025