What is utilization management in medicare?

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Alysson Kertzmann asked a question: What is utilization management in medicare?
Asked By: Alysson Kertzmann
Date created: Wed, Sep 22, 2021 5:52 AM
Date updated: Mon, Oct 24, 2022 12:54 AM

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Utilization management (UM) is the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of the applicable health benefits plan, sometimes called “utilization review.”

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