This type of utilization review judges whether additional inpatient hospitalization is medically necessary.(Utilization Reviews)

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Concurrent utilization review evaluates the medical necessity of continued inpatient hospitalization on a daily basis. It is also known as "concurrent review" or "concurrent utilization management." Prospective utilization review evaluates the medical necessity of proposed treatments before they are received. Certification utilization review is conducted before services are rendered and determines if the medical necessity criteria have been met, and retrospective utilization review assesses the medical necessity of already delivered treatments or services.

This Type of Utilization Review Judges Whether Additional Inpatient Hospitalization