Concurrent Review:

Terms Related to Concurrent Review

• Utilization Review

  An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services ...

• Professional Review Organization

  Organizations representing designated geographic areas which have contracts under the PRO program to review the medical necessity, appropriateness, quality, and cost-effectiveness of care received by ...

• Health Care Peer Review

  The concurrent or retrospective review by practicing physicians or other health professionals of the quality and efficiency of patient care practices or services ordered or ...