The UR process is necessary to treat patients. Hospitals cannot admit Medicare beneficiaries without a UR plan. The Code of Federal Regulations (42 CFR 456 and 42 CFR 482.30) and the Medicare ...

By directly employing these physician advisors, we can staff the utilization review program 12 hours per day, every day of the year, enabling review of up to 100 cases daily and conducting 20 to ...