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Checks and Balances in Utilization Review: Appeals and State Review Processes
Client, patients, and requesting physicians sometimes disagree with utilization review (UR) decisions. For cases such …
Patients without Patience – Are ERs Taking Advantage?
With opportunistic business models and aggressive marketing plans, free-standing emergency rooms (ERs) are opening in …
My Thoughts on Arizona’s Three Key UR Changes
In March, the Arizona Industrial Commission announced it was planning three key changes to utilization …