TY - CHAP M1 - Book, Section TI - Utilization Review and Utilization Management A1 - Shamus, Eric A1 - Stern, Debra A1 - McGehee, William F. A1 - Gainer, Kara PY - 2021 T2 - Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization AB - OBJECTIVESFollowing completion of this chapter, the reader will be able to:Explain what utilization review is.Describe the difference between utilization review and utilization management.Compare and contrast retrospective, concurrent, and prospective review processes.Define a technical error and how they can be avoided.Compare and contrast first- and second-level denials and their appropriate appeals.Compare and contrast internal and external utilization review.Explain the benefits of expressing examination findings in numeric terms. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/19 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1177888699 ER -