What is Utilization Management?

October 7, 2021Garrett SchmittNo CommentsUM, Utilization Management

UM  is an important, systematic process that promotes efficiency in healthcare.  When performing UM, care managers consider the following factors to determine the appropriateness of care for a member: The severity of symptoms, acuity of symptoms, prior treatment efforts, clinical diagnosis, and level of impairment in functioning. Clinical outcomes research and level of care guidelines….

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