Definition:
Utilization review evaluates the necessity and efficiency of healthcare services. It ensures appropriate resource use without compromising care quality. Reviews support regulatory compliance and cost control.
Real-World Example
- Pharmacy Techs assist with medication audits
- LVNs document care justification
- Used by healthcare administrators
How Students Use It in Training
- Discussed in healthcare systems courses
- Introduced in compliance training
- Supports understanding of care efficiency
Related Topics: Healthcare Systems