utilization review


: a critical evaluation (as by a physician or nurse) of health-care services provided to patients that is made especially for the purpose of controlling costs and monitoring quality of care

Examples of utilization review in a Sentence

Recent Examples on the Web Only one of the 75 had a current version of a utilization review for such powerful drugs. Robert T. Garrett, Dallas News, 14 June 2023 As a result of that effort, BSWHealth has reduced FTEs in the utilization review department by over 20% while reducing payer denials by the same percentage. Tom Davenport, Forbes, 14 June 2021 In areas like utilization review, new technology reads medical record documentation in real time and predicts whether a patient should be in inpatient or observation status, ensuring compliance with regulatory and payer requirements. Tom Davenport, Forbes, 14 June 2021 Just months before Jennifer’s ordeal, the same utilization review company denied a New Hampshire woman an MRI. Steve Cohen, STAT, 14 Mar. 2021 The rejection came from a UConn Correctional Manged Healthcare panel known as the utilization review committee, or URC, which must approve a wide range of diagnostic tests and preventative treatments before they can be performed. Josh Kovner, courant.com, 2 Feb. 2018

These examples are programmatically compiled from various online sources to illustrate current usage of the word 'utilization review.' Any opinions expressed in the examples do not represent those of Merriam-Webster or its editors. Send us feedback about these examples.

Word History

First Known Use

1972, in the meaning defined above

Time Traveler
The first known use of utilization review was in 1972

Dictionary Entries Near utilization review

Cite this Entry

“Utilization review.” Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/utilization%20review. Accessed 23 Jul. 2024.

Medical Definition

utilization review

uti·​li·​za·​tion re·​view ˌyüt-ᵊl-ə-ˈzā-shən-ri-ˈvyü How to pronounce utilization review (audio)
: the critical examination (as by a physician or nurse) of health-care services provided to patients especially for the purpose of controlling costs (as by identifying unnecessary medical procedures) and monitoring the quality of care
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