Definition
Utilization Review (UR)
Payer review of medical necessity for continued SUD treatment.
UR reviewers pull recent notes to justify continued stay at a given LOC. Poor documentation is the #1 cause of denied days in residential SUD.
Definition
Payer review of medical necessity for continued SUD treatment.
UR reviewers pull recent notes to justify continued stay at a given LOC. Poor documentation is the #1 cause of denied days in residential SUD.