Review of a patient’s case by one or more physicians using federal guidelines to evaluate another physician in regard to the quality and efficiency of medical care. This is done to discover overutilization or misutilization of a plan’s benefits.
The Rantings of the barely human.
Review of a patient’s case by one or more physicians using federal guidelines to evaluate another physician in regard to the quality and efficiency of medical care. This is done to discover overutilization or misutilization of a plan’s benefits.