Prospective review definition

Prospective review means utilization review conducted prior to an admission or a course of treatment.

Prospective review means any utilization review conducted, except for utilization review conducted during an inpatient stay, prior to the delivery of the requested medical services.

Prospective review means utilization review that is conducted prior to a hospital admission or a course of treatment;

Examples of Prospective review in a sentence

• Prospective review, also known as Pre-authorization or pre-service review, begins upon receipt of treatment information.

• Furthermore to establish whether patients who were eating normally and with normal functioning gastro-intestinal tracts are being provided with adequate nutrition from a hospital diet.Methods: Prospective review of emergency surgical in-patients over a three week period from 1st September 2010.

• Prospective review should take place at the dispensing pharmacy’s point-of-sale (POS).

• Utilization review means a set of formal techniques designed to monitor the use of, or evaluate the Medical Necessity, appropriateness, efficacy, or efficiency of, health care services, procedures, or settings.Techniques may include ambulatory review, Prospective review, second opinion, certification, Concurrent review, case management, discharge planning or Retrospective review.

• Prospective review means utilization review conducted prior to an admission or the provision of a health care service or a course of treatment in accordance with Our requirement that the health care service or course of treatment, in whole or in part, be approved prior to its provision.

More Definitions of Prospective review

Prospective review means utilization review conducted prior to an admission or the provision of a health care service or a course of treatment in accordance with a health carrier’s requirement that the health care service or course of treatment, in whole or in part, be approved prior to its provision.

Prospective review means utilization review conducted before an admission or a course of treatment. (bb) "Protected health information" means health information that identifies an individual who is the subject of the information or with respect to which there is a reasonable basis to believe that the information

Prospective review means utilization review conducted prior to an admission or the

Prospective review means the utilization review conducted prior to the delivery of the requested medical services, in accordance with Labor Code section 4610 and title 8, California Code of Regulations section 9792.6.1 et seq.

Prospective review means utilization review conducted prior to an admission or a course of treatment.‘Retrospective review” means a review of medical necessity conducted after services have been provided to a patient, but does not include the review of a claim that is limited to an evaluation of reimbursement levels, veracity of documentation, accuracy of coding, or adjustment for payment.

Prospective review means a utilization review conducted of a preservice claim prior to an

Prospective review means a benefits review prior to receiving a service. Prospective reviews are not required under this policy, but you or your provider may choose to request a pre-treatment estimate of benefits before a service is performed.