Utilization management
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Optimizing Utilization Management in Professional Case Management Practice
Utilization management, also called utilization review, has been present in the U.S. healthcare system for several decades. BY MICHAEL B.…
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Introducing the CMSA Microcredential in Utilization Management: Elevating Practice, Demonstrating Value
As healthcare continues to evolve toward value-based care, the expectations placed on case managers — particularly in utilization management (UM)…
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Beyond the Authorization: Navigating the Evolving Challenges of Utilization Management
BY JANET COULTER, MSN, MS, RN, CCM, FCM Mention utilization management (UM), and many healthcare professionals immediately think of prior…
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Quality Connection: Leveraging Quality to Drive CM, UM & Revenue Cycle Outcomes
BY PATRICIA RESNIK, MJ, MBA, FACHE, RRT, CPHQ, CHC, CHPC Introduction Quality, case management (CM) and utilization management (UM) are…
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