*Part of the Care Management Webinar Series to optimize hospital performance

Utilization Review (UR) is a structured process used to evaluate the necessity, appropriateness, and efficiency of medical treatments, procedures, and services. Its goal is to ensure that patients receive the right care, at the right time, in the right setting, using the right resources. Utilization review not only promotes high-quality, patient-centered care, but also helps control healthcare costs and improve clinical outcomes.

UR is a Condition of Participation (CoP) for Medicare and Medicaid, meaning that every Acute Care Hospital and Critical Access Hospital (CAH) is required to have a functioning utilization review process in place to maintain compliance and certification.

This webinar will provide a comprehensive review of the required CoP related to the UM process, status management, financial implications and role of the UM Plan and UM committee functions.

Join Ovation Healthcare’s Mayra Pinero for session one of the three-part Care Management Webinar Series. This series is designed to help healthcare professionals make informed, compliant decisions that support optimal patient care, ensure regulatory compliance, and improve financial outcomes.

• To register for the Medical Necessity and Appropriate Patient Placement presented on 08/27/25, click here.
• To register for the Multidisciplinary Rounds: Optimizing Discharge and Patient Experience presented on 10/29/25, click here.