What is the purpose and process of utilization management

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Reference no: EM132252268

Utilization Management (UM) is a process whereby a MCO manages the cost of medical services and procedures by evaluating the service’s appropriateness.

What is the purpose and process of utilization management? What is it’s importance when conducting pattern analysis and the various forms of preauthorization. What is an example of UM?

Reference no: EM132252268

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