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| The
purpose of Utilization Review at UTHCPC is prevention of over and/or under
utilization of patient treatment services without compromising the quality
of patient care. The Utilization Review team at UTHCPC accomplishes this purpose through working with the multi-disciplinary treatment team to develop individualized treatment and discharge plans, providing third-party payers with current clinical data needed to advocate for needed inpatient and out-patient services, and expediting insurance appeals for the client to recover costs of required extended hospital stays. Managed care companies should be contacted on an individual basis regarding plan benefit and coverage for mental health benefits. Some helpful links are provided: |
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David
Urtal, RN, C Utilization Review Nurse |
Edna
Jackson, BSN, RN Utilization Review Nurse |
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This
Website is maintained by UTHCPC Department of Performance Improvement. |
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