Physicians’ Review Network and the American Board of Quality Assurance and Utilization Review Physicians are pleased to announce a new online continuing education course.

It is in every clinician’s best interest to become familiar with the principles of utilization review (UR), incorporate those principles into private practice, and become involved in UR activities whenever possible. Patient interests are best served through utilization reviews performed by licensed clinicians in active practice who are dedicated to preserving quality medical care.

Managed Care increased in popularity as third-party payors and government agencies became more concerned with rising healthcare costs. Hardly any area of healthcare is free from its impact. Historically, review of medical claims was the responsibility of corporate Medical Directors possibly reviewing cases outside their specialty area. Today, the standardization of utilization management activities by state regulations and utilization review accreditation organizations, encourages the use of specialists in the service area under review.

This online certificate course will provide a detailed explanation of how healthcare professionals can keep medical decisions in the hands of qualified practitioners by becoming peer reviewers. This approach facilitates organizational improvements and ensures patients are treated as individuals with attention to the specifics of each particular situation.

After completing this program and successfully passing the final evaluation, you will be well prepared to play a critical role in the innovative healthcare delivery partnerships available in the managed care arena. The knowledge you gain as a peer reviewer will also benefit your clinical practice and improve documentation for your patients. By applying your expertise, in cooperation with other licensed professionals, you will collaborate in accomplishing the goal of utilization management: to maximize the health and well being of each individual patient.

Click here for detailed course information.