Wk 3 Discussion Post.docx

They also work with the physicians nursing staff and

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insure the right service type (inpatient or outpatient) is ordered. They also work with the physicians, nursing staff, and other facilities regarding transfers, rehab placements, or discharge in general. All of this helps the coders to code the record more accurately because the documentation is there. Most utilization review employees are nurses with and RN or BSN-RN in the hospital setting. The reasons nurses are most likely in utilization review is because they have knowledge of patient care, medical treatments, surgical and other procedures, etc. They are familiar with the patient care flow. Jeffries, M. (2007, October 30). Utliziation Review. Retrieved November 14, 2018, from - insurance/utilization-review.htm Norman, A. (2014, October 24). Utilization Review vs. Utilization Management. Retrieved November 14, 2018, from - management/ Sowerby, H. (2012, May 23). Utilization Review Nurse | Training, Certification & Salary Facts. Retrieved November 14, 2018, from - utilization-review-nurse.html
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  • Fall '18
  • Physician, utilization review

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