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  1. CHARTCOMP ╤ Utilization Review - Electronic Cottage Associates
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  3. KEYWORDS: health care, medical & dental, Medical                                 , 215     
  4.  
  5. CHARTCOMP Utilization Review tracks pre-admission, admission, and continued
  6. stay review, using criteria established by PRO organizations for both adult and
  7. pediatric patients (severity of illness and intensity of service screens). The
  8. decisions of Utilization Review coordinators, physician reviewers (unlimited
  9. subsequent physician reviews), and insurance reviewers are tracked. Actions
  10. taken and followups are recorded in the system. Insurance denials, appeals,
  11. recoveries, and final denials are monitored (both patient days and dollars). A
  12. wide range of reporting reveals overutilization by physician, service, working
  13. diagnosis, financial class, referral reason, and physician review decision.
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  17. Electronic Cottage Associates
  18. Tel: (215) 436-6685
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