Utilization review

The purpose of this service is to retrospectively reviewing the health care services or procedures provided to the patient ,mainly to identify unnecessary procedure and monitoring outcomes,mainly for cost control. There are various levels of requirement based on client’s need.The review includes medical indications for admission,appropriateness of investigation and procedures,length of the hospital stay. Having Utilization review service will certainly benefit for both payor (controlling the cost) and hospital ( reducing the dispute of necessary treatment but not being covered by patient’s healthcare policy)