- A coding inconsistency that involves separating a procedure into parts and charging for each part rather than using a single code for the entire procedure. The process of identifying and classifying the risk represented by an individual or group.
- underwriting manual
- A document that provides background information about various underwriting impairments and suggests the appropriate action to take if such impairments exist.
- See utilization review organization.
- utilization review (UR)
- An evaluation of the medical necessity, appropriateness and cost-effectiveness of healthcare services and treatment plans for a given patient. .