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<p>As hospitals grapple with ever-changing utilization review (UR) guidelines from CMS and consolidate with other facilities, many are centralizing their UR operations. Under a centralized model, an offsite UR nurse or case manager is alerted when a new patient is admitted and sees all the documentation necessary to determine whether the medical record supports the patient&rsquo;s status.&nbsp;Centralized UR establishes a standardized common process across facilities, which is a key benefit for multihospital health systems.</p>

Centralized Utilization Review: Key Considerations for Successful Implementation