These are the three types of utilization reviews.(Utilization Reviews)

Question

Quizplus · Accepted Answer

The three types of utilization reviews are prospective, concurrent, and retrospective. Precertification falls under the prospective category, as it involves reviewing the medical necessity of a treatment or service prior to its being performed. Concurrent review involves assessing the ongoing need for a treatment or service while it is being provided. Retrospective review occurs after a treatment or service has already been completed and is used to evaluate the appropriateness and quality of care that was provided. Therefore, the best answer is choice B: prospective, concurrent, and retrospective.

These Are the Three Types of Utilization Reviews