Utilization Management

The process of evaluating the necessity, appropriateness and efficiency of healthcare services against established guidelines and criteria. UM usually includes new actions or decisions based on the overall analysis of utilization.

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AllMed Healthcare Management is a URAC-accredited Independent Review Organization (IRO) with an extensive, medical peer review panel comprised of more than 400 board-certified specialists from around the country, providing a high degree of interrater reliability. AllMed provides independent medical reviews and hospital peer review to healthcare organizations, insurance payers, medical managers, claims managers and third party administrators looking to control healthcare costs, while doing the right thing for patients every time.

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Utilization Management

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